Individual provider Active NPI

Suzanne Falkowski, OD

  • Optometrist
  • Arvada, CO
National Provider Identifier
1366180945
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003781 Issued in CO
Practice address
7913 Allison Way Ste 102
Arvada, CO 80005-4450
Phone
(303) 578-2982
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003781 CO Primary

Addresses

Primary practice location

7913 Allison Way Ste 102
Arvada, CO 80005-4450

Mailing address

156332 Johnson Creek Rd
Mosinee, WI 54455-8014
Phone (715) 551-9774

Other practice location 1

2780 S Colorado Blvd Unit 300
Denver, CO 80222-6613
Phone (316) 641-4219

Other names 1

  • Suzanne Phalen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221108000017 CO Practitioner - Optometry 0749657583 Reassigns benefits to 1 organization
I20241022002937 WI Practitioner - Optometry 0749657583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Wisconsin Professional LTDGroup PAC ID 1557372968, 16 clinicians

Practice addresses (Care Compare)

355 N Peters Ave
Fond Du Lac, WI 54935-8115
Phone (920) 922-7121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003781COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Wisconsin Professional LTD Optometrist CurrentSince Sep 5, 2024 Accepting new patients
Dr. Shawn Cottrell O.D., P.C. Optometrist CurrentSince Jul 13, 2022 Accepting new patients
Eye Care Centers of Wisconsin, S.C. Optometrist Past Accepting new patients

Locations

7913 Allison Way
Ste 102
Arvada, CO 80005
Phone (303) 424-5282

111 E 4th St
Ste 440
Alton, IL 62002

355 N Peters Ave
Fond du Lac, WI 54935
Phone (920) 921-7121

2215 Vine St
Ste E
Hudson, WI 54016
Phone (715) 381-1234

Organizations & group practices 3

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1366180945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156332 JOHNSON CREEK RD",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544558014",
            "telephone_number": "715-551-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800054450",
            "telephone_number": "303-578-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 S Colorado Blvd Unit 300",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802226613",
            "country_code": "US",
            "telephone_number": "316-641-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALKOWSKI",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "PHALEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.