Individual provider Active NPI

Susan Westrup, O.D.

  • Optometrist
  • Darien, CT
National Provider Identifier
1801932322
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2050 Issued in CT
Practice address
35 Tokeneke Rd
Darien, CT 06820-4605
Phone
(203) 655-9044
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2050 CT Primary

Addresses

Primary practice location

35 Tokeneke Rd
Darien, CT 06820-4605

Mailing address

399 Main Ave
Norwalk, CT 06851-1554
Phone (203) 644-4352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002050CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cohen's Fashion Optical Past Accepting new patients
Visione Inc Optometrist PastSince Oct 24, 2015 Accepting new patients
Rutherford Vision Care, LLC Optometrist Past Accepting new patients
Dr.Susan Westrup,LLC Optometrist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1801932322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 MAIN AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511554",
            "telephone_number": "203-644-4352",
            "fax_number": "203-939-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TOKENEKE RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204605",
            "telephone_number": "203-655-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRUP",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.