Active NPI
Sukumar Pandit, OD
- Optometrist
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG 002556
- Practice address
- 1150 1St Ave
Suite 805
King of Prussia, PA 19406-1334 - Phone
- (484) 681-2249
- Fax
- (484) 681-2250
- NPI assigned
- Jun 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12928 TPA | CA | |
| Optometrist | 152W00000X | OEG 002556 | PA | Primary |
Addresses
Primary practice location
1150 1St Ave
Suite 805
King of Prussia, PA 19406-1334
Mailing address
1150 1St Ave
Suite 805
King of Prussia, PA 19406-1334
Phone (484) 681-2249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366487118 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, GA, NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2003
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
535 Manchester Ave
Media, PA 19063-3901
Hospital & facility affiliations
- Bassett Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12928 TPA | CA | MD | Optometrist |
| OEG 002556 | PA | MD | Optometrist |
| 12928 | CA | MD | Pediatric Occupational Therapist |
| 10113 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Emerging Vision Inc | Optometrist | Current | Accepting new patients |
| Emerging Vision Inc | Optometrist | Current | Accepting new patients |
| Valley Center Optometry Apc | Optometrist | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Small Town Eyecare Partners, LLC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Onsight Health Care LLC | Optometrist | Past | Accepting new patients |
| Onsight Health Care, LLC | Past | Accepting new patients | |
| Arthur Dean Sperow, D.M.D., PLLC | Past | Accepting new patients |
Locations
29115 Valley Center Rd
Ste E
Valley Center, CA 92082
Phone (760) 751-8771
921 Moores Ferry Rd
Ste C
Villa Rica, GA 30180
Phone (678) 460-0498
6081 State Route 96
Ste 8
Farmington, NY 14425
Phone (585) 924-2550
100 Quentin Roosevelt Blvd
Ste 101
Garden City, NY 11530
Organizations & group practices 10
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.
-
- Optometrist
- Farmington, NY
- NPI 1780266437
-
- Optometrist
- Villa Rica, GA
- NPI 1649831785
-
- Optometrist
- Camillus, NY
- NPI 1518626811
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Optometrist
- Valley Center, CA
- NPI 1750545406
-
- General Practice Dentistry
- King of Prussia, PA
- NPI 1467869032
-
- Optometrist
- Harrisburg, PA
- NPI 1508097411
-
- Podiatrist
- Harrisburg, PA
- NPI 1023249232
-
- Eyewear Supplier
- Riverside, CA
- NPI 1366598120
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1366487118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 1ST AVE",
"address_2": "SUITE 805",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061334",
"telephone_number": "484-681-2249",
"fax_number": "484-681-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 1ST AVE",
"address_2": "SUITE 805",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061334",
"telephone_number": "484-681-2249",
"fax_number": "484-681-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDIT",
"first_name": "SUKUMAR",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12928 TPA",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG 002556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366487118",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.