Active NPI
Suzanne M Acanne, O.D.
- Optometrist
- Detroit, MI
National Provider Identifier
1093804692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004067
- Practice address
- 2424 E 8 Mile Rd
Detroit, MI 48234-1010 - Phone
- (313) 366-5100
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004067 | MI | Primary |
Addresses
Primary practice location
2424 E 8 Mile Rd
Detroit, MI 48234-1010
Mailing address
2424 E 8 Mile Rd
Detroit, MI 48234-1010
Phone (313) 366-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004067 | MI | MD | Optometrist |
Practice roles
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093804692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 E 8 MILE RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341010",
"telephone_number": "313-366-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 E 8 MILE RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482341010",
"telephone_number": "313-366-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACANNE",
"first_name": "SUZANNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Ayat Abyad, MD
- Abyssinia Home Health Care
- Abyssinia Love Knot Physical Therapy LLC (Assurance Appropriations Case Management Systems, L.L.C.)
- Ac Investment LLC (Express Meds Pharmacy)
- Academy Family Dental Group, P.C.
- Acc
- Alicia Marie Accapezzato, M.S. ED
- Access Diagnostic Inc
- Access Plus Rehab
- Accessible Psychological Group (Apg)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.