Individual provider Active NPI

Valerie Mariko Suey, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1366671075
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7921 Issued in TX
Practice address
1201 N Loop 1604 E
San Antonio, TX 78232-1322
Phone
(210) 494-1777
NPI assigned
Jul 2, 2009
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13733 CA
Optometrist 152W00000X 7921 TX Primary

Addresses

Primary practice location

1201 N Loop 1604 E
San Antonio, TX 78232-1322

Mailing address

1201 N Loop 1604 E
San Antonio, TX 78232-1322
Phone (210) 494-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 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
I20090917000568 CA Practitioner - Optometry 0244386142 Reassigns benefits to 1 organization
I20110909002851 HI Practitioner - Optometry 0244386142

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7921TXMDChiropractor
13733CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Eyecare Center, an Optometric Practice Optometrist Current Accepting new patients
Primary Eyecare Center an Optometric Practice Optometrist CurrentSince Sep 1, 2021 Accepting new patients

Locations

7605 Morro Rd
Atascadero, CA 93422
Phone (805) 466-3777

628 California Blvd
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 543-1447

Interoperability endpoints

  • Direct secure messaging: valerie.suey.p1@direct.wcchc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1366671075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N LOOP 1604 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321322",
            "telephone_number": "210-494-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N LOOP 1604 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321322",
            "telephone_number": "210-494-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEY",
        "first_name": "VALERIE",
        "middle_name": "MARIKO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13733",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.