Individual provider Active NPI

Suzanne L Cardoza, OD

  • Optometrist
  • Hanford, CA
National Provider Identifier
1316010333
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8149TPA Issued in CA
Practice address
665 N Douty St
Hanford, CA 93230-3912
Phone
(559) 582-4316
Fax
(559) 582-0519
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8149TPA CA Primary

Addresses

Primary practice location

665 N Douty St
Hanford, CA 93230-3912

Mailing address

665 N Douty St
Hanford, CA 93230-3912
Phone (559) 582-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051101001233 CA Practitioner - Optometry 9436194701 Practice locations: Hanford, CA
O20100930035363 CA DME Supplier - Physician - Optometrist 8729023098 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hanford, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

665 N Douty St
Hanford, CA 93230-3912
Phone (559) 582-4316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8149TPACAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1316010333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303912",
            "telephone_number": "559-582-4316",
            "fax_number": "559-582-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303912",
            "telephone_number": "559-582-4316",
            "fax_number": "559-582-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOZA",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8149TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.