Susan Marie Roberts Tenold, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00020750 Issued in WA

Practice address

3200 Main St
Vancouver, WA 98663

Phone

(360) 696-4691

Fax

(360) 823-2260

NPI assigned

Feb 28, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vancouver Eye Care, P.S.

  • Eyewear Supplier
  • Vancouver, WA
  • NPI 1770755746
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225004278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61896",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986661896",
            "telephone_number": "360-823-2012",
            "fax_number": "360-823-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-696-4691",
            "fax_number": "360-823-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENOLD",
        "first_name": "SUSAN",
        "middle_name": "MARIE ROBERTS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00020750",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD12382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458903",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas L Templer, LMP
• Robert Joel Tendler, R.PH.
• Madison Taylor Tenkate, PA
• Laura Lynn Tenney, SUDPT
• Robert E Tenold, M.D.
• Julie Ann Tereza, LMT
• Rachel Elizabeth Ternan, M.D.
• Helen Tervo, RN
• Meron Simon Teshome
• Ryan Testori, OTR

• Ophthalmology Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.