Provider Demographics
NPI:1215922927
Name:STREFF, SUZANNE (OD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:STREFF
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15156
Mailing Address - Street 2:DRSTREFF@GMAIL.COM
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-5156
Mailing Address - Country:US
Mailing Address - Phone:602-678-4395
Mailing Address - Fax:
Practice Address - Street 1:9617 N METRO PKWY W
Practice Address - Street 2:#1000
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-1400
Practice Address - Country:US
Practice Address - Phone:602-678-4395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2014-09-28
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
AZ0899152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ143128Medicare PIN