Dr. Barry Sussman, M.D.
Ophthalmology in Corona Del Mar, CA. Individual provider (NPI-1).
NPI number1508036880
StatusActive
Last updated in NPPESMay 13, 2009
Details
- NPI
- 1508036880
- Entity type
- Individual (NPI-1)
- Name
- Dr. Barry Sussman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2008
- Last updated
- May 13, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPHTHALMOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | G-037064 | CA | Yes |
Practice location
1315 Bonnie Doone TerCorona Del Mar, CA 92625-1716
Phone 973-632-1652 · Fax 973-632-1652
Mailing address
1315 Bonnie Doone TerCorona Del Mar, CA 92625-1716
Phone 949-759-1956
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