Susan E Houchin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002870A Issued in IN

Practice address

1295 Broadway
Chula Vista, CA 91911-2982

Phone

(858) 248-2589

NPI assigned

Sep 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Susan E Bannon 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.

• Robert W Moses O.D. Professional Corporation

  • Optometrist
  • Merrillville, IN
  • NPI 1033161195
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1376537183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112982",
            "telephone_number": "858-248-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112982",
            "telephone_number": "858-248-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCHIN",
        "first_name": "SUSAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002870A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200393740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BANNON",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hoss, D.D.S., Inc. a Professional Corporation
• Kami Hoss, D.D.S
• Babak Hosseini, DDS, MS
• Manijeh Hosseini, D.D.S.
• Paymon Hossini, OD
• Benjamin Teofilo Hourani, MD
• Household of Faith
• Jennifer Leigh Houston, PA-C
• Howard Gardner Community Charter School
• Gayle C Howard, M.D.

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.