Suson Eye Specialists, MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

34950 Issued in WI

Legal business name

SUSON EYE SPECIALISTS, MD SC

Practice address

2300 N Mayfair Rd
Suite 1101
Wauwatosa, WI 53226-1505

Phone

(414) 475-5550

Fax

(414) 475-0249

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John David Suson, M.D.

Title

Managing Doctor

Phone

(414) 475-5550

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J. Mertz, O.D.

  • Optometrist
  • Fitchburg, WI
  • NPI 1174693246
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1699744573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "address_2": "SUITE 1101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-475-5550",
            "fax_number": "414-475-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "address_2": "SUITE 1101",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-475-5550",
            "fax_number": "414-475-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSON EYE SPECIALISTS, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "SUSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING DOCTOR",
        "authorized_official_telephone_number": "414-475-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "34950",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "33392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38530200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32169600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30936300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32237800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Eye Care of Wisconsin SC
• Summit Health & Medical LLC
• Summit Psychology Clinic SC
• Supportive Homecare Options, Inc
• Susan Powers MD
• Suson Optical Corporation
• John Swart
• Jean M Switala, MD
• Karen Ann Switon, PTA
• Ryan Sydnor, MD

• Ophthalmology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.