Individual provider Active NPI

Dare Sutton, OD

  • Optometrist
  • Louisville, KY
National Provider Identifier
1205400819
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2249DT Issued in KY
Practice address
4216 Summit Plaza Dr
Louisville, KY 40241-8106
Phone
(502) 327-1091
NPI assigned
May 18, 2021
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210805002254 KY Practitioner - Optometry 1254734395 Reassigns benefits to 2 organizations

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
Falls City Eye CareGroup PAC ID 2062788144, 2 clinicians

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

LicenseStateTypeSpecialty
18004263AINMDOptometrist
2249DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Webb Family Eyecare PLC Optometrist CurrentSince Jul 22, 2021 Accepting new patients
Falls City Eye Care Optometrist CurrentSince Nov 1, 2022 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.

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

Verify at the official NPI Registry.