Suzanne Marie Correale, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4245TG Issued in TX

Practice address

2800 S Gordon St
Alvin, TX 77511

Phone

(281) 331-8681

Fax

(281) 585-4582

NPI assigned

Feb 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary Eye Care Center I, LLP

  • Optometrist
  • Alvin, TX
  • NPI 1417170390
  Medicare reassignment NPD Authorized official
• Primary Eye Care Center PLLC

  • Optometrist
  • Alvin, TX
  • NPI 1730918483
  Medicare reassignment NPD Authorized official
• Primary Eye Care Center I, LLP

  • Optometrist
  • Alvin, TX
  • NPI 1396930053
  NPD Authorized official

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487625893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-331-8681",
            "fax_number": "281-585-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-331-8681",
            "fax_number": "281-585-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREALE",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4245TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146053701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Levi Lee Clyde, O.D.
• Coastal Eye Associates, PLLC
• Joanna Catherine Cobb, MED., LPC-ASSOCIATE
• Anita Coleman, LPC
• Cornelia L Agent MD PA
• Kristi Crain, M.S., CCC-SLP
• Domonick F Crane, LPC
• Aishah L. Crosley, M.ED., LPC
• Gail L Cunningham
• CVS Pharmacy Inc (CVS Pharmacy #06727)

• Optometrist in Alvin, TX
• Providers in Alvin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.