Active NPI
Susannah Neff, OD
- Optometrist
- Vienna, WV
National Provider Identifier
1336208040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1818
- Practice address
- 1500 Grand Central Ave # 112&104
Vienna, WV 26105-1079 - Phone
- (304) 295-5025
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | TA1818 | MD | Primary |
Addresses
Primary practice location
1500 Grand Central Ave # 112&104
Vienna, WV 26105-1079
Mailing address
11103 West Ave
Suite 6
San Antonio, TX 78213-1370
Phone (210) 524-6509
Other practice location 1
6427 Baltimore Pike
Suite a
Catonsville, MD 21228
Phone (410) 788-9303
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SN@eyedoctorviennawv.emadirect.md | Direct | Family EyeDoctors PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Grand Central Ave
Suite 112
Vienna, WV 26105-1079
Phone (304) 295-5025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eyedoctors PLLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Past | Accepting new patients | |
| Visionworks Inc | Optometrist | Past | Accepting new patients |
Locations
1500 Grand Central Ave
Ste 112
Vienna, WV 26105
Phone (304) 295-5025
Interoperability endpoints
- sn@eyedoctorviennawv.emadirect.md
Organizations & group practices 3
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.
-
- Optometrist
- Vienna, WV
- NPI 1538468764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1336208040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "SUITE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6509",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 GRAND CENTRAL AVE # 112&104",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051079",
"telephone_number": "304-295-5025"
}
],
"practiceLocations": [
{
"address_1": "6427 BALTIMORE PIKE",
"address_2": "SUITE A",
"address_purpose": "LOCATION",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "21228",
"country_code": "US",
"telephone_number": "410-788-9303",
"fax_number": "410-788-9432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEFF",
"first_name": "SUSANNAH",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1818",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SN@eyedoctorviennawv.emadirect.md",
"affiliation": "Y",
"affiliationName": "Family EyeDoctors PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Grand Central Ave # 112&104",
"city": "Vienna",
"state": "WV",
"country_code": "US",
"postal_code": "261051079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.