Rose Susel, OD OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1082 Issued in MD

Practice address

2510 Howard Grove Rd
Davidsonville, MD 21035

Phone

(410) 533-7763

Fax

(410) 956-2594

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

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

Pennsylvania College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes on You, LLCGroup PAC ID 2264662204, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.48 of 100Reported as individual

Quality

76.96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

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.

• Eyes on You, LLC

  • Optometrist
  • Dunkirk, MD
  • NPI 1770917783

  MD, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Pennye Doud & Associates, PC

  • Optometrist
  • Annapolis, MD
  • NPI 1740483429
  NPD (past)
• Susquehanna Eye Associates LLC

  • Ophthalmology Physician
  • Lock Haven, PA
  • NPI 1881752954

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268524800000",
    "number": "1851446751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 HOWARD GROVE RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "21035",
            "telephone_number": "410-533-7763",
            "fax_number": "410-956-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 HOWARD GROVE RD",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "21035",
            "telephone_number": "410-533-7763",
            "fax_number": "410-956-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSEL",
        "first_name": "ROSE",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP661",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001725",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018590600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081778300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Smith, CRNP
• South River Counseling, LLC
• Nicole Spencer, SLPA
• Strides Therapy LLC
• Albert Strunk III, M.D.
• Yvette Svoboda, FNP
• Swank Anesthesia Care LLC
• The Pediatric Group, LLP
• Ronald Lawrence Vannest, CRNA
• Roberta Lynn Wasserman, LCSW-C

• Optometrist in Davidsonville, MD
• Providers in Davidsonville, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; 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.