Benjamin J Szu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT34045TLG Issued in CA

Practice address

3140 Bear St
Costa Mesa, CA 92626

Phone

(714) 557-2020

NPI assigned

Jul 16, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of California - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grant Optometric Group IncGroup PAC ID 1658662945, 2 clinicians

Ziggy'S Optometry CorporationGroup PAC ID 4385706647, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grant Optometric Group Inc.

  • Optometrist
  • Costa Mesa, CA
  • NPI 1316395775
  Medicare reassignment Care Compare group NPD
• Ziggy'S Optometry Corporation

  • Optometrist
  • Newport Beach, CA
  • NPI 1629223706
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1013493683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 BEAR ST STE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262964",
            "telephone_number": "714-557-2020",
            "fax_number": "714-557-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 BEAR ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-557-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Clement St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941211563",
            "country_code": "US",
            "telephone_number": "415-221-4810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3417 Via Lido",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633908",
            "country_code": "US",
            "telephone_number": "626-255-2172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZU",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34045TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Swenor
• Jessica Rose Swierczek, PHYSICIAN ASSISTANT
• Synergy Diagnostics Laboratory, Inc.
• Jenna Syverson, PSYD
• Matthew K. Szkalak, DPT
• Viet Ta
• Jeremiah Taaca
• Kent Tabago
• Tiffany Tabares
• Tabrizi Family Chiropractic, PC

• Optometrist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.