Susan Mithoff Quade, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003686 Issued in MI

Practice address

2299 West Rd
Trenton, MI 48183-3615

Phone

(734) 676-4500

Fax

(734) 676-1587

NPI assigned

Apr 6, 2006

Last updated

Jun 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susan Mithoff Quade OD PCGroup PAC ID 1052307089, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Susan Mithoff Quade OD PC

  • Durable Medical Equipment & Medical Supplies
  • Trenton, MI
  • NPI 1023294584

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1184686883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833615",
            "telephone_number": "734-676-4500",
            "fax_number": "734-676-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833615",
            "telephone_number": "734-676-4500",
            "fax_number": "734-676-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADE",
        "first_name": "SUSAN",
        "middle_name": "MITHOFF",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "900H22910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "900130980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preet Sandhu, M.D., P.C.
• Prestige Health Services PLC
• Professional Dental Alliance of Trenton, PLLC
• Julian Cain Puga, DO
• Stephen Paul Pylkas
• Sarah Mae Queen, MSW INTERN
• Kashif Haseeb Qureshi, MD
• Kevin Radabaugh
• Rafeek M Farah MD PC (Farah Medical Clinic)
• Eyad Rasoul, DPM

• Optometrist in Trenton, MI
• Providers in Trenton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.