Individual provider Active NPI

Susan M Pirrone, O.D.

  • Optometrist
  • Fremont, CA
National Provider Identifier
1548315815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8006T Issued in CA
Practice address
194 Francisco LN
Suite 118
Fremont, CA 94539-8119
Phone
(510) 490-0287
Fax
(510) 683-8891
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8006T CA Primary

Addresses

Primary practice location

194 Francisco LN
Suite 118
Fremont, CA 94539-8119

Mailing address

194 Francisco LN
Suite 118
Fremont, CA 94539-8119
Phone (510) 490-0287

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090430000497 CA Practitioner - Optometry 4688722663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Payal Bavishi OD Prof Corp.Group PAC ID 4789054131, 2 clinicians

Practice addresses (Care Compare)

194 Francisco LN
Suite 118
Fremont, CA 94539-7924
Phone (510) 490-0287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8006TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Payal Bavishi OD Prof Corp Optometrist CurrentSince Feb 2, 2023 Accepting new patients

Locations

194 Francisco Ln
Ste 118
Fremont, CA 94539
Phone (510) 255-4605

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548315815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 FRANCISCO LN",
            "address_2": "SUITE 118",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945398119",
            "telephone_number": "510-490-0287",
            "fax_number": "510-683-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 FRANCISCO LN",
            "address_2": "SUITE 118",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945398119",
            "telephone_number": "510-490-0287",
            "fax_number": "510-683-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRONE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8006T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.