Individual provider Active NPI

Susan Hsu Hamel, O.D.

  • Optometrist
  • Ceres, CA
National Provider Identifier
1245387315
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12462TPL Issued in CA
Practice address
1901 Mitchell Rd Ste C
Ceres, CA 95307-2400
Phone
(209) 537-8971
Fax
(209) 537-8974
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12462T CA
Optometrist 152W00000X OPT12462TPL CA Primary

Addresses

Primary practice location

1901 Mitchell Rd Ste C
Ceres, CA 95307-2400

Mailing address

P.O. Box 186
1901 Mitchell Road Ste. C.
Ceres, CA 95307-2400
Phone (209) 537-8971

Other names 1

  • Susan Hsu Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050512001037 CA Practitioner - Optometry 8426098781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12462TCAMDOptometrist
OPT12462TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ceres Eye Care Inc a Professional Optometric Corporation Optometrist CurrentSince Mar 30, 2020 Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients

Locations

1901 Mitchell Rd
Ste C
Ceres, CA 95307
Phone (209) 537-8971

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1245387315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 186",
            "address_2": "1901 MITCHELL ROAD STE. C.",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072400",
            "telephone_number": "209-537-8971",
            "fax_number": "209-537-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MITCHELL RD STE C",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072400",
            "telephone_number": "209-537-8971",
            "fax_number": "209-537-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "SUSAN",
        "middle_name": "HSU",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12462T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12462TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HSU",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.