Michael Yoshio Sujishi, RSLD

Primary specialty

OpticianTaxonomy code 156FX1800X

License

6054 Issued in CA

Practice address

150 West Carson Street
Store 8839
Carson, CA 90745

Phone

(424) 210-4081

NPI assigned

Dec 18, 2019

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• CVS Aoc Corporation

  • Optician
  • Carson, CA
  • NPI 1649822628
  NPD

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1336787696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787532658",
            "telephone_number": "737-222-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEST CARSON STREET",
            "address_2": "STORE 8839",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90745",
            "telephone_number": "424-210-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUJISHI",
        "first_name": "MICHAEL",
        "middle_name": "YOSHIO",
        "credential": "RSLD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Stevenson, CHES
• Kennya Stokes, LVN
• Jacklyn Suarez, PHARMD
• Michael Joseph Suarez, COTA/L
• Veronica Suarez, RCP
• Summerann Styles
• Summit Healthcare Inc
• Summit Healthcare Ipa Corp.
• Summith Heallthcare Inc
• Sungold Homecare Services

• Optician in Carson, CA
• Providers in Carson, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.