Active NPI
Susan Choe, O.D.
- Optometrist
- Redondo Beach, CA
National Provider Identifier
1306370093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 33641
- Practice address
- 1760 S Pacific Coast Hwy
Redondo Beach, CA 90277-5902 - Phone
- (310) 540-2970
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 33641 | CA | Primary |
Addresses
Primary practice location
1760 S Pacific Coast Hwy
Redondo Beach, CA 90277-5902
Mailing address
96 Alfred CT
Vernon Hills, IL 60061-3250
Phone (847) 338-9379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1306370093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 ALFRED CT",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613250",
"telephone_number": "847-338-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 S PACIFIC COAST HWY",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775902",
"telephone_number": "310-540-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOE",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "33641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.