Individual provider Active NPI

Donna L Suiter, O.D.

  • Optometrist
  • Fort Gratiot, MI
National Provider Identifier
1184773905
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003896 Issued in MI
Practice address
4350 24TH Ave
Ste 634
Fort Gratiot, MI 48059-3850
Phone
(810) 385-0888
Fax
(810) 385-0832
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003896 MI Primary

Addresses

Primary practice location

4350 24TH Ave
Ste 634
Fort Gratiot, MI 48059-3850

Mailing address

4350 24TH Ave Ste 634
Fort Gratiot, MI 48059-3853
Phone (810) 385-0888

Other names 1

  • Donna L Sanzi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003896MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc. PastSince May 14, 2016 Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1184773905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 24TH AVE STE 634",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593853",
            "telephone_number": "810-385-0888",
            "fax_number": "810-385-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 24TH AVE",
            "address_2": "STE 634",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593850",
            "telephone_number": "810-385-0888",
            "fax_number": "810-385-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITER",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "SANZI",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Gratiot, MI

Sources for this page

Verify at the official NPI Registry.