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Deactivated NPI 1205814878 Deactivated / Inactive NPI Female Practitioner

Dr. Sandra Su , OD

Optometrist • Virginia Beach, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sandra Su has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2006
NPI Deactivation Date July 21, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Sandra Su, OD was a registered Optometrist practicing in Virginia Beach, VA. Throughout an active medical career spanning 16 years, Dr. Su provided care at the practice location at 1035 NIDER BLVD STE 100 until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

1035 Nider Blvd Ste 100

Virginia Beach, VA 234598701

Telephone 7579538252

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
83 Specialists

Practicing in Virginia Beach, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901004336

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Carol Maxwell , APRN

Nurse Practitioner - Family

NPI 1134538168

Advanced Practice Registered Nurse

Teresa Pipkin , RDH

Dental Hygienist

NPI 1538317680

Registered Dental Hygienist

Denise Singleton , NP

Nurse Practitioner

NPI 1598939316

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active May 17, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 17, 2013

Registered at 1035 NIDER BLVD STE 100, VIRGINIA BEACH, VA 234598701 (Tel: 7579538252)

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Updated Business Mailing Address May 17, 2013

Registered at 1105 BELMEADE DR, VIRGINIA BEACH, VA 234556879 (Tel: 7573232090)

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Provider Name / Credentials Updated May 17, 2013

Recorded as SANDRA SU, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2013

Optometrist (License #4901004336 in MI)

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Initial NPI Registration & Enumeration January 04, 2006

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: 1205814878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: May 17, 2013
Deactivation Date: July 21, 2022

Mailing Address

1105 Belmeade Dr

Virginia Beach, VA 234556879

Phone: 7573232090

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.