Individual provider Active NPI

Suzanne Streff, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1215922927
Registry record updated Sep 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0899 Issued in AZ
Practice address
9617 N Metro Pkwy W
#1000
Phoenix, AZ 85051-1400
Phone
(602) 678-4395
NPI assigned
Sep 19, 2005
Reactivated
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0899 AZ Primary

Addresses

Primary practice location

9617 N Metro Pkwy W
#1000
Phoenix, AZ 85051-1400

Mailing address

PO Box 15156
Drstreff@Gmail.Com
Scottsdale, AZ 85267-5156
Phone (602) 678-4395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20041112000980 AZ Practitioner - Optometry 7810951555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Dr Kelly a Cross and Associates P CGroup PAC ID 4587561295, 5 clinicians
Dr Simon Zmyslinski and Associates P L L CGroup PAC ID 8729128889, 3 clinicians

Practice addresses (Care Compare)

19001 N 27TH Ave
Phoenix, AZ 85027-5036
Phone (623) 293-4412

5000 S Arizona Mills Cir
Suite 165
Tempe, AZ 85282-6417
Phone (480) 478-8588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0899AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Simon Zmyslinski & Associates, P.L.L.C. Optometrist CurrentSince Aug 29, 2014 Accepting new patients
Dr. Kelly a. Cross & Associates, P.C. Optometrist CurrentSince Dec 15, 2020 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

19001 N 27th Ave
Phoenix, AZ 85027
Phone (623) 293-4402

9617 N Metro Pkwy W
Ste 1000
Phoenix, AZ 85051
Phone (602) 678-4395

7014 E Camelback Rd
Ste 2000
Scottsdale, AZ 85251
Phone (480) 945-0095

5000 S Arizona Mills Cir
Ste 165
Tempe, AZ 85282
Phone (480) 478-8588

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411862400000",
    "number": "1215922927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15156",
            "address_2": "DRSTREFF@GMAIL.COM",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852675156",
            "telephone_number": "602-678-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 N METRO PKWY W",
            "address_2": "#1000",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511400",
            "telephone_number": "602-678-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREFF",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-09-28",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "0899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.