Susan Beth Brunell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

004032 Issued in NY

Practice address

210 Wall St Unit a
Huntington, NY 11743-2092

Phone

(631) 271-0550

NPI assigned

Mar 27, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Brunell Southdown Opticains, Inc.

  • Optometrist
  • Huntington, NY
  • NPI 1003444811
  NPD Authorized official

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1801424841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALL ST UNIT A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432092",
            "telephone_number": "631-271-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALL ST UNIT A",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432092",
            "telephone_number": "631-271-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELL",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Anne Brown, MBA, RD, CDN
• Steven Browning
• Bruce L Feldman, MD, PLLC
• Eileen Bruckner, PT
• Brunell Southdown Opticains, Inc.
• Tristan Philippe Brunet, DO
• Graziella Brunetti-Huneke, L.M.S.W.
• Kristin Lee Bruning, MD
• Steven J. Brunner, M.D.
• Christopher J. Bryant

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.