Suzanne R Hall, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

TUV007085-1 Issued in NY

Practice address

30 W 60TH St
Suite 1Y
New York, NY 10023-7902

Phone

(212) 262-5177

NPI assigned

Feb 23, 2006

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

Other names 1

• Dr. Suzanne R Deterville Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pegram & Cornetta P L C

  dba Ghent Eye Care

  • Optometrist
  • Norfolk, VA
  • NPI 1770558561
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346215134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST",
            "address_2": "SUITE 1Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237902",
            "telephone_number": "212-262-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 60TH ST",
            "address_2": "SUITE 1Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237902",
            "telephone_number": "212-262-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUZANNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "TUV007085-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "DETERVILLE",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rochelle Souza Hall, LMSW
• Samantha Hall
• Sebastian Hall, PT, DPT
• Shannon Hall
• Shannon Lynn Hall
• Sylvie Hall, PHARMD
• Thea Krystal Hall, DPT
• Willa Hall, PH.D.
• Yasmine Hallab
• Alexandra W Hallacy

• Low Vision Rehabilitation Optometrist in New York, NY
• Providers in New York, NY by specialty
• Low Vision Rehabilitation Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.