Provider Demographics
NPI:1639223753
Name:QUO, SUZANNE TRAN (OD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:TRAN
Last Name:QUO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:TRAN
Other - Last Name:QUO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:157 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-2905
Mailing Address - Country:US
Mailing Address - Phone:650-520-4386
Mailing Address - Fax:
Practice Address - Street 1:1720 EL CAMINO REAL STE 235
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3213
Practice Address - Country:US
Practice Address - Phone:650-259-0300
Practice Address - Fax:650-259-0505
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11319T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist