Dr Gloria Surh Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

127342T Issued in CA

Legal business name

DR GLORIA SURH PROFESSIONAL OPTOMETRIC CORPORATION

Doing business as

IDEAL EYES OPTOMETRY

Practice address

1403 Burlingame Ave
Burlingame, CA 94010-4110

Phone

(415) 347-2200

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Surh, O.D.NPI 1245445303

Title

Optometrist

Phone

(650) 347-2200

Specialties & licenses 1

Addresses

Other names 1

• IDEAL EYES OPTOMETRY Doing business as

Locations

Practitioners 1

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

• Gloria Surh, O.D.

  • Optometrist
  • Burlingame, CA
  • NPI 1245445303
  NPD (past) Authorized official

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1215361597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 BURLINGAME AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104110",
            "telephone_number": "415-347-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 BURLINGAME AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104110",
            "telephone_number": "415-347-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GLORIA SURH PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "SURH",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "650-347-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "127342T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL EYES OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.