Sudduth Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4882 Issued in FL

Legal business name

SUDDUTH VISION PLLC

Practice address

8000 Parramore Rd.
Jacksonville, FL 32244

Phone

(206) 419-5166

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Kim Sudduth, OD

Title

Owner/Optometrist

Phone

(206) 419-5166

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1447765748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 POLARIS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055025",
            "telephone_number": "206-419-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 PARRAMORE RD.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32244",
            "telephone_number": "206-419-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDDUTH VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "SUDDUTH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "206-419-5166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316370414",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Success Point, P.a.
• Successful Women Acknowledged
• Andrew Suchan, MD
• Sandra Jean Suchomski, M.D.
• Olivia Marie Suddarth, PSYD
• Brandon Sudduth, O.D.
• Rachel Sudhindaran
• Jaime Sued, MD
• Desiree Suero
• Douglas Suffield, DAOM

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.