Nikki Robin Suskovich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002711 Issued in IN

Practice address

10735 Pendleton Pike
C/O Wal-Mart Vision Center
Indianapolis, IN 46236

Phone

(317) 823-1886

NPI assigned

Sep 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nikki R. Suskovich, O.D.,PC

  • Optometrist
  • Indianapolis, IN
  • NPI 1386756013
  NPD (past) Authorized official

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1134554496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 BOWLINE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368417",
            "telephone_number": "317-826-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 PENDLETON PIKE",
            "address_2": "C/O WAL-MART VISION CENTER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46236",
            "telephone_number": "317-823-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSKOVICH",
        "first_name": "NIKKI",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Surrett
• Charles Maurice Surrett
• Ahmet Surucu, MD
• Joash Rajesh Suryavanshi, MD
• Thomas Mark Susco II, DPT, ATC
• Rachel G Susler, MD
• Alex J Susott, M.D.
• Kenton A Susott, DDS, MSD
• Devangkumar I Sutaria
• Calli Sutcliffe

• Optometrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.