Olga Tabakman Sukenik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7841TG Issued in TX

Practice address

3405 Midway Rd Ste 421
Plano, TX 75093-8144

Phone

(972) 801-2727

Fax

(972) 943-3485

NPI assigned

Jun 3, 2010

Last updated

Aug 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• DRS Ballard & Bourque Optometrist, P.C.

  dba First Eye Care

  • Optometrist
  • Dallas, TX
  • NPI 1497798250
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1649590431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 MIDWAY RD STE 421",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938144",
            "telephone_number": "972-801-2727",
            "fax_number": "972-943-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 MIDWAY RD STE 421",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938144",
            "telephone_number": "972-801-2727",
            "fax_number": "972-943-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKENIK",
        "first_name": "OLGA",
        "middle_name": "TABAKMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7841T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7841TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue Ellen Baum MD LLC
• Jessica Suero, FNP-C
• Monti Suggs, MS, OTL
• Kwangjin Suh
• Ye Joon Suh, D.D.S.
• Adebola Sulaiman
• Suraj Sulhan, MD
• Lee Mary Sulkin, NP
• Sullivan Chiropractic Centers, PA (Sullivan Chiropractic Center)
• Erin Sullivan-Baca, PHD

• Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.