Susan Rost Monahan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4616 Issued in FL

Practice address

150 Professional Dr Ste 300
Ponte Vedra Beach, FL 32082-7232

Phone

(904) 285-8448

Fax

(904) 285-3410

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

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.

• Karen S Wolf OD & Gil Houston OD PA

  • Optometrist
  • Ponte Vedra Beach, FL
  • NPI 1598952897
  Medicare reassignment NPD
• New England Eye Institute Inc.

  • Optometrist
  • Boston, MA
  • NPI 1487607388
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1013916949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL DR STE 300",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320827232",
            "telephone_number": "904-285-8448",
            "fax_number": "904-285-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROFESSIONAL DR STE 300",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320827232",
            "telephone_number": "904-285-8448",
            "fax_number": "904-285-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "SUSAN",
        "middle_name": "ROST",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4106",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Miller, OTR/L
• Lucy S Miller, M.D.
• Jeremy Shawn Mirabile, M.D. ABPM-ADM, FASAM
• Miteshkumar Patel M.D., Core Continuity of Care Inc.
• Andrea Louise Mixer, PTA
• Samantha Jo Monson, M.S., CCC-SLP
• Raphael Christa Montgomery, PT
• Madelyn Moore, BCBA
• Sarah Morgan
• Shannon Morgan, FNP-BC

• Optometrist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.