Individual provider Active NPI

Jeffrey Richard Sutton, O.D.

  • Optometrist
  • Boone, NC
National Provider Identifier
1255526232
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1300 Issued in NC
Practice address
717 Greenway Rd
Suite C
Boone, NC 28607-4991
Phone
(828) 265-2020
Fax
(828) 264-2257
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1300 NC Primary

Addresses

Primary practice location

717 Greenway Rd
Suite C
Boone, NC 28607-4991

Mailing address

717 Greenway Rd
Suite C
Boone, NC 28607-4991
Phone (828) 265-2020

Other identifiers 3

IdentifierTypeStateIssuer
09826OtherNCBCBSNC
1780805804OtherNCGROUP NPI #
8909826MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050124000594 NC Practitioner - Optometry 6800845959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilcox Optometry PLLCGroup PAC ID 9234533092, 8 clinicians

Practice addresses (Care Compare)

800 Tiffany Blvd
Suite 101
Rocky Mount, NC 27804-1807
Phone 50224424205415

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1300NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilcox Optometry PLLC Optometrist CurrentSince Aug 6, 2021 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Stinson Mobile Aud NC PLLC Past Accepting new patients
Clark Optometric Center PA Optometrist PastSince Dec 30, 2017 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

1575 NC Highway 66 S
Kernersville, NC 27284
Phone (336) 933-8514

327 Hillsborough St
Raleigh, NC 27603

800 Tiffany Blvd
Ste 101
Rocky Mount, NC 27804

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • Direct secure messaging: jeffreysutton@direct.eyecare-partners.com

Organizations & group practices 6

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1255526232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GREENWAY RD",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074991",
            "telephone_number": "828-265-2020",
            "fax_number": "828-264-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GREENWAY RD",
            "address_2": "SUITE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074991",
            "telephone_number": "828-265-2020",
            "fax_number": "828-264-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "09826",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1780805804",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909826",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.