Active NPI
Suzanne Marie Day, O.D.
- Optometrist
- Gulf Breeze, FL
National Provider Identifier
1437103744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4091
- Practice address
- 1040 Gulf Breeze Pkwy
Suite 210
Gulf Breeze, FL 32561-7809 - Phone
- (850) 932-4184
- Fax
- (850) 934-1179
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4091 | FL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OPC 4091 | FL | |
| Sports Vision Optometrist | 152WS0006X | OPC 4091 | FL |
Addresses
Primary practice location
1040 Gulf Breeze Pkwy
Suite 210
Gulf Breeze, FL 32561-7809
Mailing address
1040 Gulf Breeze Pkwy
Suite 210
Gulf Breeze, FL 32561-7809
Phone (850) 932-4184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 621158500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220210000605 | WI | Practitioner - Optometry | 5597768929 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12876 W Bluemound Rd
Elm Grove, WI 53122-2605
16800 W Cleveland Ave
New Berlin, WI 53151-3533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4091 | FL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| F & M of Milton Inc | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- sday@gulfcoastvisioncenterpensacola.eyefinity-direct.com
Organizations & group practices 2
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": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1437103744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 210",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-932-4184",
"fax_number": "850-934-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PKWY",
"address_2": "SUITE 210",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325617809",
"telephone_number": "850-932-4184",
"fax_number": "850-934-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4091",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC 4091",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "FL",
"license": "OPC 4091",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621158500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.