Individual provider Active NPI

Barbara A. Sulewski, O.D.

  • Optometrist
  • Fairport, NY
National Provider Identifier
1083785596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06499 Issued in NY
Practice address
6800 Pittsford Palmyra Rd
Suite 360
Fairport, NY 14450-3584
Phone
(585) 223-8480
Fax
(585) 223-8481
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06499 NY Primary
Optometrist 152W00000X 2034 WI

Addresses

Primary practice location

6800 Pittsford Palmyra Rd
Suite 360
Fairport, NY 14450-3584

Mailing address

6800 Pittsford Palmyra Rd
Suite 360
Fairport, NY 14450-3584
Phone (585) 223-8480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190205002203 OH Practitioner - Optometry 2163477282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2034WIMDClinical Social Worker
06499NYMDOptometrist
006499NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Past Accepting new patients

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083785596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 360",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-8480",
            "fax_number": "585-223-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PITTSFORD PALMYRA RD",
            "address_2": "SUITE 360",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503584",
            "telephone_number": "585-223-8480",
            "fax_number": "585-223-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEWSKI",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "06499",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.