DAVID J SUDER (NPI# 1114082112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114082112 |
| Entity Type | Individual |
| Full Name | DAVID J SUDER |
| Credential | O.D. |
| Practice Address |
10145 Pacific Heights Blvd Ste 700 San Diego CA 92121-4234 |
| Practice Telephone | 8585540799 |
| Practice Fax Number | 8585541306 |
| Mailing Telephone | 8585540799 |
| Mailing Fax Number | 8585541306 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPT7682T | CA | Eye and Vision Services Providers |
| Street Address |
10145 PACIFIC HEIGHTS BLVD STE 700 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1144369372 | Mary Mcmains Od Med An Optometric Corporation | Optometrist | 3355 4th Ave, San Diego, CA 92103-5703 | 2007-02-05 |
| 1417922881 | Paul Jaimey Lavin | Optometrist | 655 Saturn Blvd, Ste. H, San Diego, CA 92154-4734 | 2006-02-21 |
| 1689661571 | Richard N.v. Phung | Optometrist | 9880 Hibert St, Suite E-1, San Diego, CA 92131-1068 | 2005-10-05 |
| 1588157952 | Brian Chou, O.d., Inc. | Optometrist | 2020 Camino Del Rio N Ste 109, San Diego, CA 92108-1542 | 2018-06-11 |
| 1932520889 | Eyeloha Eye Care Optometry | Optometrist | 1018 Grand Ave, San Diego, CA 92109-4117 | 2013-12-19 |
| 1851617567 | Michael A Goldsmid, O.d., An Optometric Corporation | Optometrist | 3750 Sports Arena Blvd, #9, San Diego, CA 92110-5129 | 2010-04-20 |
| 1356507503 | Eye Studio Optometry Inc | Optometrist | 4475 University Ave, San Diego, CA 92105-1731 | 2008-08-06 |
| 1699987768 | Eric M. White Od, Inc | Optometrist | 5075 Ruffin Rd Ste B, San Diego, CA 92123-1698 | 2007-05-03 |
| 1811024516 | Patrick Cameron Vanhoose | Optometrist | 7246 Clairemont Mesa Blvd, San Diego, CA 92111-1007 | 2007-02-28 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.