Paul J Suscavage OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-001503 Issued in NU

Legal business name

PAUL J SUSCAVAGE OD

Doing business as

Family Vision

Practice address

850 S Valley Forge Rd
Lansdale, PA 19446-4261

Phone

(215) 368-4660

Fax

(215) 368-1776

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gayle Wild

Title

Office Manager

Phone

(215) 368-4660

Specialties & licenses 1

Addresses

Other names 1

• Family Vision Doing business as

Tax ID family

Family Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Vision

  • Optometrist
  • Lansdale, PA
  • NPI 1699979211
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Jacob Suscavage, OD

  • Optometrist
  • Lansdale, PA
  • NPI 1053382077
  NPD (past)

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1871763722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S VALLEY FORGE RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464261",
            "telephone_number": "215-368-4660",
            "fax_number": "215-368-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S VALLEY FORGE RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464261",
            "telephone_number": "215-368-4660",
            "fax_number": "215-368-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J SUSCAVAGE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-368-4660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": "OEG-001503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pankaj Patel
• Rajni B Patel, M.D.
• Shushma Patel, MSW, LCSW
• Sneha N. Patel, PA-C
• Katelyn Patrick, DPT
• Taylor Pavan
• Megan Payne, PA
• Peak You LLC
• Azure Rose Pelberg, DMD
• Penn Gardens Ads LLC (Penn Gardens Adult Day Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.