Susanne Vasquez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TOO5675-1 Issued in NY

Practice address

23 Fenbrook Dr
Larchmont, NY 10538-1029

Phone

(914) 834-2089

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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 NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Terri Optics IncGroup PAC ID 6406745652, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Terri Optics, Inc.

  • Optician
  • Dobbs Ferry, NY
  • NPI 1710031992
  Medicare reassignment Care Compare group
• Terri Optics

  • Optometrist
  • Dobbs Ferry, NY
  • NPI 1083714182
  NPD (past)
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • El Monte, CA
  • NPI 1972912236
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790901189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FENBROOK DR",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381029",
            "telephone_number": "914-834-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FENBROOK DR",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381029",
            "telephone_number": "914-834-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TOO5675-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "TOO5675-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy E. Trommer-Thaul II, M.S.
• John Stuart Turtz, PH.D.
• Lisa Turtz, MD
• Joel C Ullman, MD
• Nipa Vasa
• Ivanna Vazquez
• Christopher J Vece, PHARMD
• Daria Freyer Ventura, M.S., R.D., C.D.N.
• Deborah S Verlen, PHD
• Vicki J. Ehrlich, Psy.D., PC

• Optometrist in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.