Active NPI
Dare Sutton, OD
- Optometrist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2249DT
- Practice address
- 4216 Summit Plaza Dr
Louisville, KY 40241-8106 - Phone
- (502) 327-1091
- NPI assigned
- May 18, 2021
- Last updated
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004263A | IN | |
| Optometrist | 152W00000X | 2249DT | KY | Primary |
Addresses
Primary practice location
4216 Summit Plaza Dr
Louisville, KY 40241-8106
Mailing address
967 Scott Rd
Eddyville, KY 42038-8139
Phone (270) 601-1042
Other practice location 1
1562 Bardstown Rd
Louisville, KY 40205-1155
Phone (502) 915-7794
Other practice location 2
1570 Veterans Pkwy
Jeffersonville, IN 47130-7137
Phone (812) 284-1533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1562 Bardstown Rd
Louisville, KY 40205-1155
Phone (502) 915-7794
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004263A | IN | MD | Optometrist |
| 2249DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webb Family Eyecare PLC | Optometrist | Current | Accepting new patients |
| Falls City Eye Care | Optometrist | Current | Accepting new patients |
Locations
1562 Bardstown Rd
Louisville, KY 40205
Phone (502) 458-5277
4216 Summit Plaza Dr
Louisville, KY 40241
Phone (502) 327-1091
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Louisville, KY
- NPI 1568810448
-
- Optometrist
- Louisville, KY
- NPI 1457763948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1205400819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 SCOTT RD",
"city": "EDDYVILLE",
"state": "KY",
"postal_code": "420388139",
"telephone_number": "270-601-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 SUMMIT PLAZA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402418106",
"telephone_number": "502-327-1091"
}
],
"practiceLocations": [
{
"address_1": "1562 Bardstown Rd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402051155",
"country_code": "US",
"telephone_number": "502-915-7794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1570 Veterans Pkwy",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471307137",
"country_code": "US",
"telephone_number": "812-284-1533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "DARE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004263A",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "2249DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.