Individual provider Active NPI

Steven Tinggang Su, OD

  • Optometrist
  • Rowland Heights, CA
National Provider Identifier
1417574633
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34572 Issued in CA
Practice address
17572 Colima Rd
Rowland Heights, CA 91748-1754
Phone
(626) 810-2022
Fax
(626) 810-0993
NPI assigned
Jul 3, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34572 CA Primary

Addresses

Primary practice location

17572 Colima Rd
Rowland Heights, CA 91748-1754

Mailing address

1251 Lemon Tree Dr
La Habra, CA 90631-6910
Phone (562) 565-4819

Other practice location 1

140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784
Phone (626) 288-8023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210222000816 CA Practitioner - Optometry 5698180875 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Optometric Care of Northern California PC Optometrist Current Accepting new patients
Steven Su, O.D. Optometric Corporation Optometrist CurrentSince Feb 7, 2024 Accepting new patients
Total Vision PC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Nov 25, 2021 Accepting new patients
First Optometric Care of Northern California PC Optometrist CurrentSince Nov 25, 2021 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince Aug 1, 2022 Accepting new patients
National Vision, Inc. PastSince May 11, 2025 Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients
Golden Rowland Heights Optometry Optometrist PastSince Aug 1, 2022 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

17572 Colima Rd
Rowland Heights, CA 91748
Phone (626) 810-2022

1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

31573 Rancho Pueblo Rd
Ste 101
Temecula, CA 92592
Phone (951) 302-5580

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1417574633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 LEMON TREE DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316910",
            "telephone_number": "562-565-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17572 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481754",
            "telephone_number": "626-810-2022",
            "fax_number": "626-810-0993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W Valley Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "San Gabriel",
            "state": "CA",
            "postal_code": "917763784",
            "country_code": "US",
            "telephone_number": "626-288-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SU",
        "first_name": "STEVEN",
        "middle_name": "TINGGANG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-03",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.