Suson Optical Corporation

LBN: Suson Optical Corporation
Suson Optical Corporation is an health care organization with primary practice located at 2300 N Mayfair Rd Suite 1101, Wauwatosa WI 53226-1505. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Suson Optical Corporation can be contacted via phone (414) 443-5289, or through Suson, John D via phone (414) 475-5550.

Contact Information

Primary practice address
2300 N Mayfair Rd Suite 1101 Wauwatosa WI 53226-1505
Phone: (414) 443-5289
Fax: (414) 475-5550
Website:
Map and Directions
Authorized official contact:
Name: Suson, John D Doctor of Medicine (MD)
Phone: (414) 475-5550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1598889727
LBN Legal business name Suson Optical Corporation
DBA Doing business as
Authorized official Suson, John D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Dec 21st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598889727 NPPES
Wisconsin MEDICAID 32237800
Wisconsin MEDICAID 38530200
Wisconsin MEDICAID 30936300
Wisconsin MEDICAID 32169600

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