Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386648731 Individual Practitioner Female Practitioner

Dr. Suzanne Wickum , OD

Optometrist • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Suzanne Wickum, OD is a registered healthcare professional specializing in Optometrist in Long Beach, CA. Practice services are available at 5901 E 7TH ST under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5901 E 7th St

Long Beach, CA 908225201

Telephone 5628268000
Fax 5628265063
Associated Practice Facility / Clinic
🏢 Long Beach Vamc Facility NPI 1003866468

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
92 Specialists

Practicing in Long Beach, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
25 24 $248.04 $188.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
22 21 $159.05 $122.51
92014 Established patient complete exam of visual system
11 11 $153.18 $115.30

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 5166TG

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License CA 10639TPA

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
040970801 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sohrab Tanavoli , DO

Internal Medicine

NPI 1003039256

Doctor of Osteopathic Medicine (D.O.)

Raquel Reyes , LSW

Social Worker - Clinical

NPI 1003117144

Licensed Social Worker

Dr. Pargol Nazarian , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1003203977

Doctor of Pharmacy (Pharm.D.)

Greyson Nakano

Optometrist

NPI 1003212663
Loremea Bautista

Registered Nurse - Psychiatric/Mental Health

NPI 1003460239
James Watson

Social Worker - Clinical

NPI 1003539149

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address December 06, 2019

Registered at 5901 E 7TH ST, LONG BEACH, CA 908225201 (Tel: 5628268000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2019

Optometrist (License #5166TG in TX)

📍
Updated Practice Location April 30, 2019

Registered at 5901 E 7TH ST, LONG BEACH, CA 908225201 (Tel: 5628268000)

📍
Updated Business Mailing Address April 30, 2019

Registered at 21446 HAYLEY LN, HUNTINGTON BEACH, CA 926466934 (Tel: 8324280753)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2019

Optometrist (License #10639TPA in CA)

NPI Profile Active July 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2010

Registered at 505 J. DAVIS ARMISTEAD BLDG., 4901 CALHOUN, HOUSTON, TX 772042020 (Tel: 7137431921)

📍
Updated Business Mailing Address July 16, 2010

Registered at 505 J. DAVIS ARMISTEAD BLDG., 4901 CALHOUN, HOUSTON, TX 772042020 (Tel: 7137431921)

👤
Provider Name / Credentials Updated July 16, 2010

Recorded as SUZANNE WICKUM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2010

Optometrist (License #5166TG in TX)

🟢
Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386648731
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: December 06, 2019
Sole Proprietor: No

Mailing Address

5901 E 7th St

Long Beach, CA 908225201

Phone: 5628268000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.