Steven Su, O.D. Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STEVEN SU, O.D. OPTOMETRIC CORPORATION

Practice address

17572 Colima Rd
Rowland Heights, CA 91748-1754

Phone

(562) 565-4819

NPI assigned

Oct 27, 2023

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Tinggang Su, ODNPI 1417574633

Title

Chief Executive Officer

Phone

(562) 565-4819

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Tinggang Su, OD

  • Optometrist
  • Rowland Heights, CA
  • NPI 1417574633
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1205608791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 LEMON TREE DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17572 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481754",
            "telephone_number": "562-565-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN SU, O.D. OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "TINGGANG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "562-565-4819",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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• Tamara Stella
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• Steven Tinggang Su, OD
• Cassiel Suarez
• Samantha Suarez
• Laihah Suen, RPH
• Peter Sun, L.AC.

• Optometrist in Rowland Heights, CA
• Providers in Rowland Heights, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.