SUSON OPTICAL CORPORATION (NPI# 1598889727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598889727 |
Entity Type | Organization |
Organization Name | SUSON OPTICAL CORPORATION |
Practice Address |
2300 N Mayfair Rd Suite 1101 Wauwatosa WI 53226-1505 |
Practice Telephone | 4144435289 |
Practice Fax Number | 4144755550 |
Mailing Telephone | 4144435289 |
Mailing Fax Number | 4144755550 |
Enumeration Date | 2007-03-16 |
Last Update Date | 2012-12-21 |
Authorized Official Name | DR. JOHN D SUSON (PRESIDENT) |
Authorized Official Telephone | 4144755550 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32169600 | 05 | |
WI | 38530200 | 05 | |
WI | 30936300 | 05 | |
WI | 32237800 | 05 |
Street Address |
2300 N MAYFAIR RD SUITE 1101 |
City | WAUWATOSA |
State | WI |
Zip Code | 53226-1505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710975271 | Thomas J Cesarz | Ophthalmology | 2300 N Mayfair Rd, #1155, Wauwatosa, WI 53226-1505 | 2005-10-10 |
1104288711 | Brittany Kristine Campbell | Counselor | 2300 N Mayfair Rd, Suite 425, Wauwatosa, WI 53226 | 2016-03-23 |
1003245283 | Angela Byers | Counselor | 2300 N Mayfair Rd, Ste 425, Wauwatosa, WI 53226-1505 | 2013-11-07 |
1922350727 | Ashley Danielle Learned | Counselor | 2300 N Mayfair Rd, 425, Wauwatosa, WI 53226-1505 | 2012-10-04 |
1427308931 | Peter Arndt | Physical Therapist | 2300 N Mayfair Rd, Suite 555, Wauwatosa, WI 53226-1505 | 2012-09-12 |
1548565047 | Natalie Jace Harris | Dietitian, Registered | 2300 N Mayfair Rd, 425, Wauwatosa, WI 53226-1505 | 2011-01-14 |
1639407141 | Melissa J Schneider | Counselor | 2300 N Mayfair Rd, Suite 425, Wauwatosa, WI 53226-1505 | 2009-11-20 |
1164654794 | Stacy Lynn Gaertner | Social Worker | 2300 N Mayfair Rd, Suite 425, Wauwatosa, WI 53226-1505 | 2009-08-16 |
1679725352 | Pathway Eclinic Sc | Counselor | 2300 N Mayfair Rd, Suite 425, Wauwatosa, WI 53226-1505 | 2008-10-14 |
1720249592 | Ninette A. Nassif,m.d., S.c. | Internal Medicine | 2300 N Mayfair Rd, Suite 755, Wauwatosa, WI 53226-1505 | 2008-06-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
Find all providers in zip 53226 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
1255486148 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2500 N Mayfair Rd Ste 800, Wauwatosa, WI 53226-1409 | 2007-01-24 |
1831476373 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2011-11-11 |
1225347040 | Markerry Enterprises LLC | Eyewear Supplier (Equipment, not the service) | 7605 Harwood Ave, Wauwatosa, WI 53213-2608 | 2010-09-28 |
1891876801 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658772 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1073 E Johnson St, Fond Du Lac, WI 54935-8919 | 2020-10-27 |
1578170247 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 120 N Grand Ave Ste 102, Sun Prairie, WI 53590-9007 | 2020-09-28 |
1639784622 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2268 W Mason St, Green Bay, WI 54303-4707 | 2020-09-15 |
1427669746 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1607 Losey Blvd S, La Crosse, WI 54601-6151 | 2020-08-11 |
1710598032 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 631 Hometown Cir Ste 106, Verona, WI 53593-1561 | 2020-08-11 |
1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
1558903815 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 422 Gammon Pl, Madison, WI 53719-1026 | 2019-10-08 |
1669013256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 123 N Mall Dr, Grand Chute, WI 54913-8531 | 2019-10-04 |
1952962763 | Martell Eyecare, LLC | Eyewear Supplier (Equipment, not the service) | 703 Third Street, Marathon, WI 54448 | 2019-06-23 |
1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SUSON OPTICAL CORPORATION.
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.