Jo Anne S Suzuki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA09368T Issued in CA

Practice address

1111 Kennedy PL
Suite 1
Davis, CA 95616-1266

Phone

(530) 753-2020

Fax

(530) 753-7441

NPI assigned

Feb 21, 2006

Last updated

Mar 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Davis Optometry Corporation

  • Optometrist
  • Davis, CA
  • NPI 1568503530
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1598730731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KENNEDY PL",
            "address_2": "SUITE 1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161266",
            "telephone_number": "530-753-2020",
            "fax_number": "530-753-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KENNEDY PL",
            "address_2": "SUITE 1",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161266",
            "telephone_number": "530-753-2020",
            "fax_number": "530-753-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "JO ANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA09368T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE #",
            "identifier": "CA09368T",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0093680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sutter Valley Medical Foundation
• Sutter Valley Medical Foundation
• Sutter Valley Medical Foundation (Sutter Medical Foundation)
• Sutter Valley Medical Foundation
• Cathy Lorraine Sutton, LCSW
• Christopher Warren Swales, M.D.
• Brian C. Swanson, MD
• James S Sweeney, DPT
• Synapse Association
• Marissa Szeto

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.