Zen-Ni Su, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12006T Issued in CA

Practice address

2245 Lomita Blvd
Lomita, CA 90717-1437

Phone

(310) 534-1873

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By 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 CA

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

Southern California College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• South Bay Eye Care Optometry, Inc

  • Optometrist
  • Lomita, CA
  • NPI 1477785772
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225138035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171437",
            "telephone_number": "310-534-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 LOMITA BLVD",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171437",
            "telephone_number": "310-534-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "ZEN-NI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12006T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INS",
            "identifier": "OPT12006T",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0120060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Bay Eye Care Optometry, Inc
• South Bay Nets, LLC
• Paul Stevens, L.C.S.W.
• Carla Diane Stewart, FNP-BC
• Nicola Stockberger, M.A., M.F.T.
• Angel Unju Suh, COTA
• John Sulmeyer, MFT
• Liyen L Sun, D.D.S.
• Sungazer Healthcare, Inc. (Lomita Post Acute Care Center)
• Sunshine 1 Congregate Home Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.