Gloria Surh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12732-T Issued in CA

Practice address

1403 Burlingame Ave
Burlingame, CA 94010-4110

Phone

(650) 347-2200

NPI assigned

May 11, 2007

Last updated

Aug 6, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Dr Gloria Surh Professional Optometric Corporation

  dba Ideal Eyes Optometry

  • Optometrist
  • Burlingame, CA
  • NPI 1215361597
  NPD (past) Authorized official
• Lawrence G Mock, O.D.

  dba Broadway Eyeworks

  • Optometrist
  • Walnut Creek, CA
  • NPI 1114107802
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1245445303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 GREEN ST",
            "address_2": "301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091929",
            "telephone_number": "415-341-2772"
        },
        {
            "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": "650-347-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURH",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12732-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Su Tran Family LLC (Assisting Hands San Carlos)
• Sukhjit S Takhar MD Inc
• Emily Richards Sullivan
• Christa Sundberg, RN
• Sunui Lee PHD Inc
• Susan L Fullemann MD (Burlingame Family Health Medical Group)
• Louisa Sushansky, RN BSN
• Sutter Bay Hospitals (Mills-Peninsula Medical Center)
• Sutter Bay Hospitals (Mills-Peninsula Senior Focus Center Adult Day Health)
• Jeanne Peri Sutton, M.A., LMFT

• 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 6, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.