Robert S Susan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0E008279T Issued in PA

Practice address

523 Kimberton Rd
Suite 11C
Phoenixville, PA 19460-4745

Phone

(610) 933-2177

Fax

(610) 933-8782

NPI assigned

Jun 21, 2006

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Male

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 PA

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RSS Optometry, LLC

  • Optometrist
  • Phoenixville, PA
  • NPI 1063616027
  Medicare reassignment NPD Authorized official
• DRS Obrien and Robinson LLC

  • Optometrist
  • Quarryville, PA
  • NPI 1750426318
  NPD (past)
• Leckemby Eyecare Associates, LLC

  • Optometrist
  • Phoenixville, PA
  • NPI 1083621114
  NPD (past)
• Quarryville Eyecare, LLC

  • Optometrist
  • Quarryville, PA
  • NPI 1326601147
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1871539429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 KIMBERTON RD",
            "address_2": "SUITE 11C",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604745",
            "telephone_number": "610-933-2177",
            "fax_number": "610-933-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 KIMBERTON RD",
            "address_2": "SUITE 11C",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604745",
            "telephone_number": "610-933-2177",
            "fax_number": "610-933-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSAN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "0E008279T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00175534200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Stroud, BS
• Crystal Coles Stubbs
• Molly Stubbs, LPC
• Kaylee Alexa Sturans, DPT, PT
• Catherine S Surla, MED
• Paul B Swanson, M.D.
• Douglas Mark Syrylo, RPH
• Jennifer Szilagyi
• Mark Alan Szilagyi, RPH
• Mark Alexander Szilagyi, PHARM D

• Optometrist in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.