Suffolk Eye Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0102036877 Issued in VA

Legal business name

SUFFOLK EYE ASSOCIATES PC

Practice address

2463 Pruden Blvd
Suffolk, VA 23434

Phone

(757) 925-1136

Fax

(757) 925-0353

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Gary Sajko, D.O.

Title

Presdient

Phone

(757) 925-1136

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1174657175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-925-1136",
            "fax_number": "757-925-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-925-1136",
            "fax_number": "757-925-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SAJKO",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "757-925-1136",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0102036877",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101054964",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0102036877",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101054964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6307108",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6301738",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Strother
• Alexa Kate Stucky, COTA
• Gerod Stukes, BBS, ACC, APM, CSAC,
• Suffolk Anesthesia Associates
• Suffolk City Public Schools
• Suffolk Eye Physicians and Surgeons
• Suffolk Home Medical
• Suffolk Psychiatric Group
• Suffolk Psychotherapy, Inc.
• Suffolk Radiology Associates, Inc.

• Specialist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.