Susannah Marie Standal, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2404 Issued in CO

Practice address

1165 S Camino del Rio Ste 100
Durango, CO 81303-6824

Phone

(970) 247-8762

Fax

(970) 385-4496

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360Care Services of Al LLCGroup PAC ID 7719240977, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.77 of 100Reported as group

Quality

45.94

Promoting interoperability

85

Improvement activities

40

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 and National Provider Directory roles.

• 360Care Services of Al LLC

  • Audiologist
  • Montgomery, AL
  • NPI 1710493176

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1588723019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S CAMINO DEL RIO STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-247-8762",
            "fax_number": "970-385-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S CAMINO DEL RIO STE 100",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036824",
            "telephone_number": "970-247-8762",
            "fax_number": "970-385-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDAL",
        "first_name": "SUSANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2404",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah St. John
• Stacy Reuille-Dupont, LLC
• Patricia Anne Stady, RN
• Penney Sutcliffe Stahl
• Steven Stahl, RN
• Cynthia M Stangby
• Wendy Anne Stapleton, PA-C
• Margaret Ann Starner
• Chelsea Steck
• Carolyn Joy Steele, D.O.

• Optometrist in Durango, CO
• Providers in Durango, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.
• 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.