Sandra Lyn Stevens-Suratt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9100T Issued in CA

Practice address

1234 W Chapman Ave
Suite 201
Orange, CA 92868-2862

Phone

(714) 997-1091

Fax

(714) 997-1097

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Lyn Stevens Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Optometric Care of Northern California PC

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1154972404
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Norwalk, CA
  • NPI 1316532898
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • San Jose, CA
  • NPI 1487537452
  NPD
• Byron M Fennema O.D. Inc

  • Optometrist
  • Orange, CA
  • NPI 1942256037
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1700927332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W CHAPMAN AVE",
            "address_2": "SUITE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-997-1091",
            "fax_number": "714-997-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W CHAPMAN AVE",
            "address_2": "SUITE 201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-997-1091",
            "fax_number": "714-997-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS-SURATT",
        "first_name": "SANDRA",
        "middle_name": "LYN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9100T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "STEVENS",
            "middle_name": "LYN",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steve a. Mora, M.D., Inc
• Steve Hufstedler MD a Professional Corp
• Steven F.Stanowicz, M.D.,Inc
• Steven J. Keiser DDS, Inc
• Steven J. Keiser, D.D.S., Inc.
• Ashley Stevens
• Daniel Desmond Stevens, MD
• Zoe-Raven Angelique Stevens
• Imari Sade Stevenson
• Matthew David Stevenson, PHARMD

• Optometrist in Orange, CA
• Providers in Orange, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.