David J Suder, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT7682T Issued in CA

Practice address

10145 Pacific Heights Blvd
Ste 700
San Diego, CA 92121-4234

Phone

(858) 554-0799

Fax

(858) 554-1306

NPI assigned

Dec 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114082112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10145 PACIFIC HEIGHTS BLVD",
            "address_2": "STE 700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214234",
            "telephone_number": "858-554-0799",
            "fax_number": "858-554-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10145 PACIFIC HEIGHTS BLVD",
            "address_2": "STE 700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214234",
            "telephone_number": "858-554-0799",
            "fax_number": "858-554-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDER",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT7682T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Sudak
• Anisha Sudan, DDS
• Laura Sudano, MFT
• Janice Pentewstes Sudaria, M.D
• Lesley Sudduth, MHS, PA-C
• Sudhir Malik, a Professional Medical Corporation
• Justine Renae Sudlow
• Jason Sudo, PHARMD
• Sue E. Shrader,MFT
• David Sue

• Corneal and Contact Management Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Corneal and Contact Management Optometrist in California

• 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.

Verify at the official NPI Registry.