Susan a Driscoll, O.D.,LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUSAN A DRISCOLL, O.D.,LLC

Practice address

3272 N John Young Pkwy
Kissimmee, FL 34741-7549

Phone

(407) 870-0051

NPI assigned

Dec 12, 2021

Organization subpart

Yes

Parent organization

SUSAN DRISCOLLAs reported in NPPES

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

Authorized official

Name

Susan Driscoll, OD

Title

Optometrist

Phone

(407) 739-2123

Specialties & licenses 1

Addresses

Other names 1

• susan driscoll Other name

Tax ID family

Susan a Driscoll OD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Susan a Driscoll, O.D., LLC

  • Optometrist
  • Kissimmee, FL
  • NPI 1649900176
  NPD tax ID

Locations

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1144989666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SAINT DUNSTAN WAY",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924851",
            "telephone_number": "689-777-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417549",
            "telephone_number": "407-870-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A DRISCOLL, O.D.,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN DRISCOLL",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-739-2123",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "susan driscoll",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Surgical Management LTD
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• Isary Suri Cabrera
• Elidio Suriel
• Susan a Driscoll, O.D., LLC
• Gabriel Josue Sustache Mercado, APRN
• Sutherland Services LLC
• Pontus Klas Torsten Svensson
• SVS Health Inc
• Deanna Swaney

• Optometrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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.