Nikki R. Suskovich, O.D.,PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002711A Issued in IN

Legal business name

NIKKI R. SUSKOVICH, O.D.,PC

Practice address

10735 Pendleton Pike
C/O Wal-Mart Vision Center
Indianapolis, IN 46236-2838

Phone

(317) 823-1886

Fax

(317) 823-2107

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nikki Robin Suskovich, O.D.NPI 1134554496

Title

President

Phone

(317) 826-4173

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikki Robin Suskovich, O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1134554496
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1386756013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 BOWLINE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368417",
            "telephone_number": "317-826-4173",
            "fax_number": "317-823-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 PENDLETON PIKE",
            "address_2": "C/O WAL-MART VISION CENTER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362838",
            "telephone_number": "317-823-1886",
            "fax_number": "317-823-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI R. SUSKOVICH, O.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "SUSKOVICH",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-826-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002711A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niger Medical Services LLC
• Andrew D Nigh, MD
• Candace Nigh, LCSW
• Nightwater Health of Indiana, PC
• Julie Nikirk, RN
• Katherine Elizabeth Nikolai, OT
• Sravya Nimmagadda, PHARMD
• Ferris Ray Nimri, MD
• Andrew Nimry, MD
• Alexmar Nin Velez, MD

• Optometrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.