Active NPI
Suzan Burmayan, OD
- Optometrist
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT33687
- Practice address
- 120 W Bonita Ave Ste a
San Dimas, CA 91773-5000 - Phone
- (909) 599-1100
- Fax
- (909) 394-1743
- NPI assigned
- Jul 6, 2017
- Last updated
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT33687 | CA | Primary |
Addresses
Primary practice location
120 W Bonita Ave Ste a
San Dimas, CA 91773-5000
Mailing address
120 W Bonita Ave Ste a
San Dimas, CA 91773-5000
Phone (909) 599-1100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 W Bonita Ave
Suite a
San Dimas, CA 91773-5000
Phone (909) 599-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT33687 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suzan Burmayan, O.D., a Professional Corporation | Optometrist | Current | Accepting new patients |
| Richard Garratt OD Inc | Optometrist | Current | Accepting new patients |
| Clarion Optometry Group Prof Corp | Optometrist | Current | Accepting new patients |
| Linden Optometry a Professional Corporation | Optometrist | Past | Accepting new patients |
| Shannon O. Alturas, O.D., a Professional Corporation | Optometrist | Past | Accepting new patients |
| Kathy Chriqui a Professional Optometric Corporation | Optometrist | Past | Accepting new patients |
Locations
120 W Bonita Ave
Ste A
San Dimas, CA 91773
Phone (909) 599-1100
3658 S Nogales St
West Covina, CA 91792
Phone (626) 461-7300
56970 Yucca Trl
Ste 101
Yucca Valley, CA 92284
Phone (760) 228-2020
Organizations & group practices 6
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.
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- NPI 1639572100
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1619498078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W BONITA AVE STE A",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735000",
"telephone_number": "909-599-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W BONITA AVE STE A",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735000",
"telephone_number": "909-599-1100",
"fax_number": "909-394-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURMAYAN",
"first_name": "SUZAN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT33687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.