Suzanne M Hazen PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUZANNE M HAZEN PC

Doing business as

Telluride Vision

Practice address

220 E Colorado Ave 210
Telluride, CO 81435

Phone

(970) 708-4890

Fax

(970) 728-8987

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne McLean Hazen, OD

Title

President

Phone

(970) 708-4890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Telluride Vision Doing business as

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1083962781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3110",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814353110",
            "telephone_number": "970-708-4890",
            "fax_number": "970-728-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E COLORADO AVE 210",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "81435",
            "telephone_number": "970-708-4890",
            "fax_number": "970-728-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE M HAZEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MCLEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-708-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12002267",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telluride Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Colorado Mental Health Center Inc (Axis Health System)
• Southwest Colorado Mental Health Center, Inc (Axis Health System)
• St Mary's Hospital and Medical Center, Inc (Intermountain Health Bloomin' Babies - Telluride Satellite)
• Scott Stinnet, D.D.S
• Sunshine Pharmacy, LLC (Sunshine Pharmacy)
• Harriet Chipley Swenson, PT
• Desirae Tarris, LPCC
• Telluride Dental P.C.
• Telluride Dental PC (Gary E. Conrad DDS)
• Telluride Fire Protection District

• Optometrist in Telluride, CO
• Providers in Telluride, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.