Individual provider Active NPI

Susan Louise Daniel, O.D.

  • Optometrist
  • Carlsbad, CA
National Provider Identifier
1962564104
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9698T Issued in CA
Practice address
3144 El Camino Real
Suite 202
Carlsbad, CA 92008-2194
Phone
(760) 434-3314
Fax
(760) 434-5624
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9698T CA Primary

Addresses

Primary practice location

3144 El Camino Real
Suite 202
Carlsbad, CA 92008-2194

Mailing address

3144 El Camino Real
Suite 202
Carlsbad, CA 92008-2194
Phone (760) 434-3314

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20081204000604 CA Practitioner - Optometry 7719929371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

3144 El Camino Real
Suite 202
Carlsbad, CA 92008-2194
Phone (760) 434-3314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9698TCAMDOptometrist
9698CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Sep 18, 2019 Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

3144 El Camino Real
Carlsbad, CA 92008
Phone (714) 456-5532

3144 El Camino Real
Ste 202
Carlsbad, CA 92008
Phone (760) 434-3314

1093 E Main St
El Cajon, CA 92021
Phone (619) 444-1153

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

4515 Central Ave
Ste 101
Riverside, CA 92506
Phone (909) 784-2420

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1962564104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 EL CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082194",
            "telephone_number": "760-434-3314",
            "fax_number": "760-434-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 EL CAMINO REAL",
            "address_2": "SUITE 202",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082194",
            "telephone_number": "760-434-3314",
            "fax_number": "760-434-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9698T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.