Individual provider Active NPI

Mirka Sulc, O.D.

  • Optometrist
  • Cranberry Township, PA
National Provider Identifier
1023222387
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001311 Issued in PA
Practice address
1717 Route 228
Cranberry Township, PA 16066-5312
Phone
(724) 778-9010
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008538 IL
Optometrist 152W00000X OEG001311 PA Primary

Addresses

Primary practice location

1717 Route 228
Cranberry Township, PA 16066-5312

Mailing address

409 Farrington Dr
Seven Fields, PA 16046-4211
Phone (724) 776-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000107 PA Practitioner - Optometry 9032257845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Vision Care LLCGroup PAC ID 4981999240, 5 clinicians

Practice addresses (Care Compare)

1717 Route 228
Cranberry Township, PA 16066-5312
Phone (724) 778-9010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008538ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Vision Care, LLC Optometrist CurrentSince Feb 28, 2018 Accepting new patients

Locations

1717 Route 228
Cranberry Twp, PA 16066
Phone (724) 778-9007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1023222387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FARRINGTON DR",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160464211",
            "telephone_number": "724-776-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ROUTE 228",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665312",
            "telephone_number": "724-778-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULC",
        "first_name": "MIRKA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008538",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.