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SUSON EYE SPECIALISTS MD SC NPI 1699744573


NPI Information

NPI: 1699744573
Provider Name: SUSON EYE SPECIALISTS, MD SC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2300 N MAYFAIR RD
SUITE 1101
WAUWATOSA, WI
ZIP 53226
Phone: (414) 475-5550
Get Directions

SUSON EYE SPECIALISTS, MD SC is an ophthalmology in Wauwatosa, WI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SUSON EYE SPECIALISTS, MD SC NPI is 1699744573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2300 N MAYFAIR RD
SUITE 1101
WAUWATOSA, WI
ZIP 53226-505
Phone: (414) 475-5550
Fax: (414) 475-0249

The provider's authorized official is John David Suson .
The authorized official title is Managing Doctor and has the following contact phone number (414) 475-5550.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 11/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology33392WISCONSINNo
2207W00000XOphthalmology34950WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138530200MEDICAIDKENTUCKY
2000373555MEDICARE ID-TYPE UNSPECIFIEDWIDR. JUDY SUSON HOGGATT MD
3B56989MEDICARE UPINWISCONSIN
432169600MEDICAIDWISCONSIN
5G29476MEDICARE UPINWISCONSIN
6000173555MEDICARE ID-TYPE UNSPECIFIEDWISCONSINDR. JOHN D. SUSON, MD
7G06978MEDICARE UPINWISCONSIN
830936300MEDICAIDWISCONSIN
932237800MEDICAIDWISCONSIN
10T83421MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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