Individual provider Active NPI

Alan Sutter, OD

  • Optometrist
  • Erie, PA
National Provider Identifier
1295584548
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004143 Issued in PA
Practice address
2640 W 38TH St
Erie, PA 16506-4524
Phone
(814) 835-8258
NPI assigned
May 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004143 PA Primary

Addresses

Primary practice location

2640 W 38TH St
Erie, PA 16506-4524

Mailing address

2350 E 38TH St
Erie, PA 16510-3725
Phone (937) 707-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240710000731 PA Practitioner - Optometry 5698210086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffith Eye Center PCGroup PAC ID 1557494143, 3 clinicians

Practice addresses (Care Compare)

2640 W 38TH St
Erie, PA 16506-4524
Phone (814) 835-8258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Griffith Eye Center PC Optometrist CurrentSince Jun 17, 2024 Accepting new patients
Griffith Eye Center PC Optometrist PastSince Jun 17, 2024 Accepting new patients

Locations

2640 W 38th St
Erie, PA 16506
Phone (814) 835-8258

41 S Lake St
North East, PA 16428
Phone (814) 725-3304

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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1295584548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103725",
            "telephone_number": "937-707-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064524",
            "telephone_number": "814-835-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "ALAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.