Susan C Lodenquai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12700 Issued in CA

Practice address

668B Fremont Ave
Los Altos, CA 94024-4812

Phone

(650) 948-5061

Fax

(650) 948-5090

NPI assigned

Jul 7, 2005

Last updated

Nov 4, 2011By 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

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

Other, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

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.

• Susan C, Lodenquai, O.D. Inc

  dba Altos Family Optometry

  • Optometrist
  • Los Altos, CA
  • NPI 1144501933
  Medicare reassignment NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment Care Compare group
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Richmond, CA
  • NPI 1235226531
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1336146257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668B FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244812",
            "telephone_number": "650-948-5061",
            "fax_number": "650-948-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668B FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244812",
            "telephone_number": "650-948-5061",
            "fax_number": "650-948-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODENQUAI",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Chih-Jen Lo, O.D.
• Margaret Lo, M.D.
• Alice Locke-Chezar, M.A. MFT, ATR
• Loconte Chiropractic, Inc.
• James Michael Loconte, DC
• Penny Loeb, MD
• Deborah Carol Loeffler, CMT NCTMB
• Jaclyn Long, MFT
• Daniel Lopez, PHARM.D
• Loren Romley Lac (White Peony Acupuncture)

• Optometrist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.