IndividualActive
Sutera Nudtavuthtisit, DOCTOR OF OPTOMETRY
NPI 1770969701 · Optometrist · Fullerton, CA
Provider details
- NPI number
- 1770969701
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- DOCTOR OF OPTOMETRY
- Sex
- Female
- Sole proprietor
- No
- License
- 15263 TLG (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1319 S Harbor Blvd
Fullerton, CA 92832-3001
Phone: (714) 525-3330
Fax: (714) 525-3334
Street-level locationGet directions
Mailing address
2629 E Brookside Ave
Orange, CA 92867-4008
Registry dates
- Enumerated
- 2015-07-31
- Last updated
- 2016-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.