NPIMap

Organization Active NPI

Susan Elizabeth Sawyer

  • Durable Medical Equipment & Medical Supplies
  • Rialto, CA
National Provider Identifier
1487802047
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
12002T Issued in CA
Legal business name
SUSAN ELIZABETH SAWYER
Practice address
1613 S Riverside Ave
Suite B
Rialto, CA 92376-7701
Phone
(909) 421-1022
Fax
(909) 421-3932
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Susan E. Sawyer, O.D.NPI 1518073709
Title
Owner/Optometrist
Phone
(909) 421-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 12002T CA Primary

Addresses

Primary practice location

1613 S Riverside Ave
Suite B
Rialto, CA 92376-7701

Mailing address

1613 S Riverside Ave
Suite B
Rialto, CA 92376-7701
Phone (909) 421-1022

Other identifiers 1

IdentifierTypeStateIssuer
SD0120020MedicaidCA

National Provider Directory

National Provider Directory

Locations

1613 S Riverside Ave
Ste B
Rialto, CA 92376
Phone (909) 421-1022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1487802047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 S RIVERSIDE AVE",
            "address_2": "SUITE B",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767701",
            "telephone_number": "909-421-1022",
            "fax_number": "909-421-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 S RIVERSIDE AVE",
            "address_2": "SUITE B",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767701",
            "telephone_number": "909-421-1022",
            "fax_number": "909-421-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN ELIZABETH SAWYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "909-421-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "12002T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0120020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.