Active NPI
Alan Sutter, OD
- Optometrist
- Erie, PA
National Provider Identifier
1295584548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG004143
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffith Eye Center PC | Optometrist | Current | Accepting new patients |
| Griffith Eye Center PC | Optometrist | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.