Organization Active NPI

Suzanne L. Cardoza, O.D.

  • Optometrist
  • Hanford, CA
National Provider Identifier
1881876456
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8149T Issued in CA
Legal business name
SUZANNE L. CARDOZA, O.D.
Practice address
665 N Douty St
Hanford, CA 93230-3912
Phone
(559) 582-4316
Fax
(559) 582-0519
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Suzanne L. Cardoza
Title
Owner
Phone
(559) 582-4316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8149T CA Primary

Addresses

Primary practice location

665 N Douty St
Hanford, CA 93230-3912

Mailing address

665 N Douty St
Hanford, CA 93230-3912
Phone (559) 582-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035363 CA DME Supplier - Physician - Optometrist 8729023098 1 other NPI on this enrollment
Practice locations: Hanford, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

665 N Douty St
Hanford, CA 93230
Phone (559) 582-4316

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1881876456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303912",
            "telephone_number": "559-582-4316",
            "fax_number": "559-582-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303912",
            "telephone_number": "559-582-4316",
            "fax_number": "559-582-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE L. CARDOZA, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CARDOZA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-582-4316",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8149T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.