Individual provider Active NPI

Frank Brian Sue, O.D.

  • Optometrist
  • Artesia, CA
National Provider Identifier
1851384440
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9101T Issued in CA
Practice address
12222 Artesia Blvd
Artesia, CA 90701-4345
Phone
(562) 991-1027
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT9101T CA Primary

Addresses

Primary practice location

12222 Artesia Blvd
Artesia, CA 90701-4345

Mailing address

PO Box 1231
Westminster, CA 92684-1231
Phone (714) 642-0243

Other practice location 1

6051 Pacific Blvd
Huntington Park, CA 90255-2933
Phone (323) 583-1344

Other practice location 2

335 E Manchester Blvd
Inglewood, CA 90301-1814
Phone (424) 227-7971

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT9101TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851384440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926841231",
            "telephone_number": "714-642-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014345",
            "telephone_number": "562-991-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6051 Pacific Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington Park",
            "state": "CA",
            "postal_code": "902552933",
            "country_code": "US",
            "telephone_number": "323-583-1344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 E Manchester Blvd",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903011814",
            "country_code": "US",
            "telephone_number": "424-227-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUE",
        "first_name": "FRANK",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9101T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.