Timothy Paul Suorsa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10864T Issued in CA

Practice address

524 W Putnam Ave
Porterville, CA 93257-3274

Phone

(559) 784-5127

Fax

(559) 784-4288

NPI assigned

Nov 6, 2006

Last updated

May 27, 2009By the provider in NPPES

Sex

Male

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 3

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

Specialty

Optometry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Suorsa and Dr Miller OptometryGroup PAC ID 0345777264, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
• FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/

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.

• Dr. Suorsa and Dr. Miller Optometry

  • Optometrist
  • Porterville, CA
  • NPI 1245919315
  Medicare reassignment Care Compare group NPD
• Timothy P. Suorsa O.D.

  • Optometrist
  • Porterville, CA
  • NPI 1720275407
  Authorized official Same address or phone
• Timothy Suorsa OD

  • Optometrist
  • Porterville, CA
  • NPI 1225265382
  Authorized official Same address or phone
• Cha Medical and Surgical Group, PC

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1194209254
  NPD (past)
• Charles D. Fritch, M.D., Inc

  dba Fritch Eye Care Medical Center

  • Ophthalmology Physician
  • Bakersfield, CA
  • NPI 1124200316
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1497824478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573274",
            "telephone_number": "559-784-5127",
            "fax_number": "559-784-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573274",
            "telephone_number": "559-784-5127",
            "fax_number": "559-784-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUORSA",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10864T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "5664210001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00294171",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yao Su
• Success Valley Medical Group, Inc
• Kellie Ruth Sulier, PSYD
• Sun Villaidence Opco, LLC (Sequoia Transitional Care)
• Sungho Kim DDS Inc
• Rajeshwary Swamidurai, MD
• David Patrick Sweeney, M.A.
• Sweetest Peek 3D/4D Imaging
• T & C Drug Inc (Town and Country Drug)
• T.W. Maclennan, M.D., a Medical Corp

• Optometrist in Porterville, CA
• Providers in Porterville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.

Verify at the official NPI Registry.