J Richard Susi, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS4893 Issued in FL

Practice address

7326 Lake Underhill Rd
Orlando, FL 32822-6055

Phone

(407) 380-2020

Fax

(407) 381-8112

NPI assigned

Jun 14, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Affiliated Eye Specialists P a

  • Specialist
  • Maitland, FL
  • NPI 1396897591

  Ophthalmology

  NPD (past)
• Lasik Pro PA

  • Optometrist
  • Orlando, FL
  • NPI 1720278203
  NPD (past)
• Nazari, LLC

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1811372972
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1871598219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7326 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328226055",
            "telephone_number": "407-380-2020",
            "fax_number": "407-381-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7326 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328226055",
            "telephone_number": "407-380-2020",
            "fax_number": "407-381-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSI",
        "first_name": "J",
        "middle_name": "RICHARD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS4893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078374900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaya N. Surujdyal, D.O.
• Susan Addis PHD PA
• Susan H. Jacquot DDS PL
• Rose Susel
• Bradley Sushko, RN
• Laura Kathleen Susi, MD
• Thomas Tony Susi Jr.
• Andrew D Sutherland, DC
• Cara Sutherland, M.S.
• Erica Sutherland, PHYSICAL THERAPIST

• Ophthalmology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.