Organization Active NPI

Stephen C Sulyi OD LLC

  • Optometrist
  • Chardon, OH
National Provider Identifier
1194014514
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STEPHEN C SULYI OD LLC
Practice address
118 Chimney RDG
Chardon, OH 44024-4006
Phone
(864) 884-7432
Fax
(864) 688-2307
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Authorized official

Name
Stephen C Sulyi, OD
Title
Owner
Phone
(864) 884-7432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

118 Chimney RDG
Chardon, OH 44024-4006

Mailing address

118 Chimney RDG
Chardon, OH 44024-4006
Phone (864) 884-7432

Other identifiers 1

IdentifierTypeStateIssuer
0212124MedicaidOH

National Provider Directory

National Provider Directory

Locations

127 Murrah Dr
Rock Hill, SC 29732
Phone (803) 324-7591

140 Tokeena Rd
Seneca, SC 29678
Phone (843) 246-1694

400 Locust Grv
Spartanburg, SC 29303
Phone (864) 503-0377

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1194014514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CHIMNEY RDG",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440244006",
            "telephone_number": "864-884-7432",
            "fax_number": "864-688-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CHIMNEY RDG",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440244006",
            "telephone_number": "864-884-7432",
            "fax_number": "864-688-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C SULYI OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "SULYI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-884-7432",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.