Active NPI
Susan a Driscoll, O.D., LLC
- Optometrist
- Kissimmee, FL
National Provider Identifier
1649900176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SUSAN A DRISCOLL, O.D., LLC
- Practice address
- 3272 N John Young Pkwy
Kissimmee, FL 34741-7549 - Phone
- (407) 870-0051
- NPI assigned
- Jun 16, 2022
- Organization subpart
- Yes
- Parent organization
- SUSAN DRISCOLL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Driscoll, OD
- Title
- Optometrist
- Phone
- (407) 739-2123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3272 N John Young Pkwy
Kissimmee, FL 34741-7549
Mailing address
717 Saint Dunstan Way
Winter Park, FL 32792-4851
Phone (407) 739-2123
National Provider Directory
National Provider Directory- Tax ID family
- Susan a Driscoll OD LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Kissimmee, FL
- NPI 1144989666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655337600000",
"number": "1649900176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 SAINT DUNSTAN WAY",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924851",
"telephone_number": "407-739-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3272 N JOHN YOUNG PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417549",
"telephone_number": "407-870-0051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN A DRISCOLL, O.D., LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUSAN DRISCOLL",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2021-12-10",
"status": "A",
"authorized_official_last_name": "DRISCOLL",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "407-739-2123",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.