Timothy P. Suorsa O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10864T Issued in CA

Legal business name

TIMOTHY P. SUORSA O.D.

Practice address

524 W Putnam Ave
Porterville, CA 93257-3274

Phone

(559) 784-5127

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy P. Suorsa, O. D

Title

Owner

Phone

(559) 784-5127

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1720275407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573274",
            "telephone_number": "559-784-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573274",
            "telephone_number": "559-784-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P. SUORSA O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "SUORSA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-784-5127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10864T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE4606",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramu Thiagarajan, M.D.
• Sharanya Thiagarajan, MD
• Thrifty Payless Inc
• Jocelyn G. Tiangha, R.N.
• Monica Timmerman, PSYCH. TECH.
• Timothy Suorsa OD
• Janet Gail Tindall, MD
• Mark Louis Tindall, MD
• Todays Applied Behavior Analysis, LLC
• Tien Quynh Tonnu

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.