Individual provider Active NPI

Suzanne Tran Quo, O.D.

  • Optometrist
  • Burlingame, CA
National Provider Identifier
1639223753
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11319T Issued in CA
Practice address
1720 El Camino Real Ste 235
Burlingame, CA 94010-3213
Phone
(650) 259-0300
Fax
(650) 259-0505
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11319T CA Primary

Addresses

Primary practice location

1720 El Camino Real Ste 235
Burlingame, CA 94010-3213

Mailing address

157 Lois LN
Palo Alto, CA 94303-2905
Phone (650) 520-4386

Other names 1

  • Dr. Suzanne Tran Quo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11319TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1639223753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 LOIS LN",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943032905",
            "telephone_number": "650-520-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL STE 235",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103213",
            "telephone_number": "650-259-0300",
            "fax_number": "650-259-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUO",
        "first_name": "SUZANNE",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11319T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "QUO",
            "middle_name": "TRAN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.