Paul Jacob Suscavage, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001503 Issued in PA

Practice address

850 S Valley Forge Rd
Lansdale, PA 19446-4261

Phone

(215) 368-4660

Fax

(215) 368-7176

NPI assigned

Jan 28, 2006

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Family Vision

  • Optometrist
  • Lansdale, PA
  • NPI 1699979211
  NPD (past) Authorized official
• Medical Coders LLC

  dba Family Vision

  • Optometrist
  • Lansdale, PA
  • NPI 1881838217
  Authorized official Same address or phone
• Paul J Suscavage OD

  dba Family Vision

  • Optometrist
  • Lansdale, PA
  • NPI 1871763722
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1053382077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S VALLEY FORGE RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464261",
            "telephone_number": "215-368-4660",
            "fax_number": "215-368-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSCAVAGE",
        "first_name": "PAUL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Sullivan, PHD, RDN, LDN
• Elizabeth A Sun, M.D.
• Leslie A Sunder, M.S. CCC-SLP/L
• Sunshine Home Care Services, LLC.
• Super Fresh Food Markets, Inc. (Super Fresh Pharmacy # 804)
• Mark P Sussman, DO
• Insaf Madeleine Sydnor
• George Andrew Szekely II, D.C.
• T&J Senior Care (Senior Helpers of Lansdale)
• Mariam Tadros

• Optometrist in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.