Susan Darnell Homesley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP6693T Issued in CA

Practice address

1516 Main St
Suite 102
Ramona, CA 92065-5242

Phone

(760) 789-0950

Fax

(760) 789-6057

NPI assigned

Jan 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1720068984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST",
            "address_2": "SUITE 102",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655242",
            "telephone_number": "760-789-0950",
            "fax_number": "760-789-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 MAIN ST",
            "address_2": "SUITE 102",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655242",
            "telephone_number": "760-789-0950",
            "fax_number": "760-789-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMESLEY",
        "first_name": "SUSAN",
        "middle_name": "DARNELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-21",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP6693T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0066930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James L. Hill, D.D.S.
• Lysa T Ho, DO
• Kathrin Hoertig, RN, BSN
• Dunya Ellen Holland, MFTI
• Juliette Hollinsid
• Milena Minkova Hristeva
• Matthew Hubbs, IMF
• Kara-Leigh Jacobsen Huse, ATR-BC
• Kayla Imhoff
• Jaime Gonzalez DDS Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.