Susan C, Lodenquai, O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12700 Issued in CA

Legal business name

SUSAN C, LODENQUAI, O.D. INC

Practice address

668B Fremont Ave
Los Altos, CA 94024-4812

Phone

(650) 948-5061

Fax

(650) 948-5090

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Susan Lodenquai, O.D.NPI 1336146257

Title

President

Phone

(650) 948-5061

Specialties & licenses 1

Addresses

Other names 1

• Altos Family Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan C Lodenquai, O.D.

  • Optometrist
  • Los Altos, CA
  • NPI 1336146257
  Medicare reassignment NPD Authorized official
• Katherine Makedonsky, OD

  • Optometrist
  • Alameda, CA
  • NPI 1154843779
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1144501933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668B FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244812",
            "telephone_number": "650-948-5061",
            "fax_number": "650-948-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668B FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244812",
            "telephone_number": "650-948-5061",
            "fax_number": "650-948-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C, LODENQUAI, O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "LODENQUAI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-948-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altos Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aifeng Su, ACUPUNCTURIST
• Hardat Sukhdeo, MD
• Situ Sun
• Karl Supal, DDS
• Support-Counseling Inc.
• Karen Jill Suskiewicz, MD
• Sarah I Sussen
• Trenna L Sutcliffe, M D
• Sutter Bay Medical Foundation
• Tommy Lee Sutton, PT

• Optometrist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.