Provider Demographics
NPI:1760432371
Name:SOOD, SUCHI (OD,MPH)
Entity Type:Individual
Prefix:DR
First Name:SUCHI
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:OD,MPH
Other - Prefix:DR
Other - First Name:SUCHI
Other - Middle Name:
Other - Last Name:SAINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD,MPH
Mailing Address - Street 1:175 ROCHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-4104
Mailing Address - Country:US
Mailing Address - Phone:201-446-9034
Mailing Address - Fax:201-333-2768
Practice Address - Street 1:127 NEWARK AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-2811
Practice Address - Country:US
Practice Address - Phone:201-333-2768
Practice Address - Fax:201-333-3145
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5821152WC0802X, 152W00000X
MDTA2172152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8910405Medicaid
NJU91552Medicare UPIN
NJ060759Medicare ID - Type Unspecified