SUSAN LORETTA BYNUM O.D.
NPI 1861539868
Optometrist in Novato, CA

Q: What is Susan Bynum's NPI number?

The NPI number for Susan Bynum is 1861539868. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Susan Bynum's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Bynum was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2007PECOS Enrolled

97 SAN MARIN DR, NOVATO, CA 94945(415) 899-7560 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Susan Loretta Bynum O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN LORETTA BYNUM O.D. (NPI 1861539868) is an individual optometrist in Novato, California, licensed in California (9723) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861539868

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSUSAN LORETTA BYNUMCredential: O.D.

Location Address97 SAN MARIN DRNovato, CA 94945-1100

Mailing Address97 San Marin DrNovato, CA 94945-1100 · (415) 899-7560

Phone(415) 899-7560

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1861539868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 9723

Definition

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.

97 SAN MARIN DR, Novato, CA 94945

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Loretta Bynum O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94945 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.04 typical visit price

range $69.07 – $202.63

Typical copayment $38.51 (range $17.26 – $50.65)

Most-billed visit code 99204

Established Patient

$85.00 typical visit price

range $23.44 – $166.64

Typical copayment $21.25 (range $5.86 – $41.66)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ZIBA ANSARI-JABERI PHARM.D.

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