MEDICARE: SUZANNE STREFF, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	AZ899	AZ

General Provider Information

NPI Number	:	1013211382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUZANNE STREFF, PLLC

Provider Business Mailing Address
First Line	:	9617 N METRO PKWY W
Second Line	:	1000
City	:	PHOENIX
State	:	AZ
Zip	:	85051-1400
Country	:	US
Telephone Number	:	602-678-4395
Fax Number	:	602-678-4396

Provider Business Practice Location Address
First Line	:	9617 N METRO PKWY W
Second Line	:	1000
City	:	PHOENIX
State	:	AZ
Zip	:	85051-1400
Country	:	US
Telephone Number	:	602-678-4395
Fax Number	:	602-678-4396

Authorized Official
Title or Position	:	PRES.
Name	:	DR. SUZANNE STREFF
Credential	:	O.D.
Telephone Number	:	602-678-4395

Provider Enumeration Date	:	12/31/2010
Last Update Date	:	09/28/2014

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