Susana Chan, OD, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUSANA CHAN, OD, P.C.

Practice address

387 Waterman Ave
East Providence, RI 02914-2618

Phone

(401) 453-5800

Fax

(401) 271-6867

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Susana Chan, ODNPI 1619002854

Title

Optometrist

Phone

(401) 453-5800

Specialties & licenses 1

Addresses

Other names 1

• ClearView EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susana Chan, OD

  • Optometrist
  • East Providence, RI
  • NPI 1619002854
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1376235069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEADOWBROOK DR",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142618",
            "telephone_number": "401-453-5800",
            "fax_number": "401-271-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANA CHAN, OD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "401-453-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearView EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Toni Stula
• Emily Elizabeth Sullivan, NP
• Francis Sullivan, MD
• Scott F Sullivan, PA
• Margaret A Sun, MD
• Stephen R Swartzlander, PHD
• Karen A. Swenson, P.T.A.
• Syed M Sayeed MD
• Marilyn M Sykulski, MSW
• Binhyen Ta, OD

• Optometrist in East Providence, RI
• Providers in East Providence, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.