Individual provider Active NPI

Susan J Kaspian, O.D.

  • Optometrist
  • Lomita, CA
National Provider Identifier
1124162151
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13200 Issued in CA
Practice address
1735 Pacific Coast Hwy
Lomita, CA 90717
Phone
(310) 325-0986
Fax
(310) 325-0790
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13200 CA Primary

Addresses

Primary practice location

1735 Pacific Coast Hwy
Lomita, CA 90717

Mailing address

1735 Pacific Coast Hwy
Lomita, CA 90717-2719
Phone (310) 540-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000760 CA Practitioner - Optometry 7618075102 Reassigns benefits to 1 organization
Practice locations: Lomita, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

1735 Pacific Coast Hwy
Lomita, CA 90717-2719
Phone (310) 540-5115

514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13200CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Nov 19, 2018 Accepting new patients
Susan Kaspian, O.D. PastSince Jan 28, 2012 Accepting new patients

Locations

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3640 Lomita Blvd
Ste 106
Torrance, CA 90505
Phone (310) 375-8088

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1124162151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172719",
            "telephone_number": "310-540-5115",
            "fax_number": "310-540-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 PACIFIC COAST HWY",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "90717",
            "telephone_number": "310-325-0986",
            "fax_number": "310-325-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPIAN",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lomita, CA

Sources for this page

Verify at the official NPI Registry.