Individual provider Active NPI

Suzanne Smith, OD

  • Optometrist
  • Thorndale, PA
National Provider Identifier
1770510752
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET008937 Issued in PA
Practice address
3000 C G Zinn Road
The Greenview Pavilion
Thorndale, PA 19372
Phone
(610) 384-9100
Fax
(610) 384-3937
NPI assigned
Jun 27, 2006
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0E006907P PA
Optometrist 152W00000X OET008937 PA Primary

Addresses

Primary practice location

3000 C G Zinn Road
The Greenview Pavilion
Thorndale, PA 19372

Mailing address

3000 C G Zinn Road
The Greenview Pavilion
Thorndale, PA 19372
Phone (610) 384-9100

Other identifiers 1

IdentifierTypeStateIssuer
0016485200001MedicaidPA

Other names 1

  • Suzanne Kuzma Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SS@llceye.ecldirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110510000395 PA Practitioner - Optometry 5496931370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Eye Group PCGroup PAC ID 3072598432, 7 clinicians

Practice addresses (Care Compare)

3000 C G Zinn Rd
Thorndale, PA 19372-1134
Phone (610) 384-9100

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0E006907PPAMDOptometrist
OET008937PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Eye Group, P.C. CurrentSince Oct 11, 1990 Accepting new patients
Focus Eye Group, P.C. CurrentSince Oct 11, 1990 Accepting new patients
Pro-Specs Inc Past Accepting new patients

Locations

1175 Lancaster Ave
Ste 200
Berwyn, PA 19312
Phone (610) 384-9100

3000 Zinn Rd
Thorndale, PA 19372
Phone (610) 380-1621

Interoperability endpoints

  • Direct secure messaging: ss@llceye.ecldirect.net
  • Direct secure messaging: ssmith@llcea.intellechartdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1770510752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 C G ZINN ROAD",
            "address_2": "THE GREENVIEW PAVILION",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "19372",
            "telephone_number": "610-384-9100",
            "fax_number": "610-384-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 C G ZINN ROAD",
            "address_2": "THE GREENVIEW PAVILION",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "19372",
            "telephone_number": "610-384-9100",
            "fax_number": "610-384-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUZANNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0E006907P",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016485200001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SS@llceye.ecldirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3000 C G Zinn Road",
            "address_2": "The Greenview Pavilion",
            "city": "Thorndale",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "KUZMA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thorndale, PA

Sources for this page

Verify at the official NPI Registry.