Active NPI
Susan K Feneis, O.D.
- Optometrist
- National City, CA
National Provider Identifier
1093870966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8460
- Practice address
- 3030 Plaza Bonita Rd
National City, CA 91950-8009 - Phone
- (619) 267-8500
- Fax
- (619) 267-4983
- NPI assigned
- Dec 22, 2006
- 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 | 8460 | CA | Primary |
Addresses
Primary practice location
3030 Plaza Bonita Rd
National City, CA 91950-8009
Mailing address
539 Parkway PLZ
El Cajon, CA 92020-2532
Phone (619) 441-0139
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 |
|---|---|---|---|
| 8460 | CA | MD | Doula |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093870966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 PARKWAY PLZ",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202532",
"telephone_number": "619-441-0139",
"fax_number": "619-441-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 PLAZA BONITA RD",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919508009",
"telephone_number": "619-267-8500",
"fax_number": "619-267-4983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENEIS",
"first_name": "SUSAN",
"middle_name": "K",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in National City, CA
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.