Individual provider Active NPI

Susan Janette Summerton, OD

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1437238912
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3286 Issued in FL
Practice address
2650 Creighton Rd
Pensacola, FL 32504-7382
Phone
(850) 542-7555
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 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 OPC3286 FL Primary

Addresses

Primary practice location

2650 Creighton Rd
Pensacola, FL 32504-7382

Mailing address

8550 Scenic Hwy Apt F
Pensacola, FL 32514-7921
Phone (239) 438-8190

Other practice location 1

2954 S Blue Angel Pkwy
Vision Center
Pensacola, FL 32506
Phone (850) 458-4996

Other practice location 2

4965 Hwy 90
Vision Center
Pace, FL 32571
Phone (850) 292-6371

Other identifiers 2

IdentifierTypeStateIssuer
919737OtherFLBLOCK
204312220OtherFLNVA

Other names 1

  • Dr. Susan Summerton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070219000216 FL Practitioner - Optometry 2860594058 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lange Eye Care and Associates PAGroup PAC ID 2163329590, 3 clinicians

Practice addresses (Care Compare)

11834 County Rd
Suite 101
The Villages, FL 32162-9340
Phone (352) 753-4014

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as group
Quality
61.81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lange Eye Care & Associates PA Optometrist CurrentSince Nov 7, 2022 Accepting new patients
Coastal Family Eyecare Inc Optometrist CurrentSince Jul 13, 2020 Accepting new patients
Cape Coral Eye Center, P.a. CurrentSince Feb 13, 2016 Accepting new patients
Gulf Breeze Eye Care Corp CurrentSince Mar 4, 2021 Accepting new patients
Douglas Reynolds, O.D. Santa Rosa, P.a. Optometrist CurrentSince Aug 28, 2018 Accepting new patients
Cape Coral Eye Center, P.a. Optometrist CurrentSince Feb 13, 2016 Accepting new patients
The Retina & Macular Degeneration Center of SW Florida PLLC Past Accepting new patients
Jeffrey L Zimm MD PA Optometrist PastSince Nov 23, 1999 Accepting new patients
F & M of Milton Inc Optometrist PastSince Aug 28, 2018 Accepting new patients

Locations

4120 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 542-3020

2491 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 682-4014

5560 Stewart St
Milton, FL 32570
Phone (850) 623-2545

3101 SW College Rd
Ocala, FL 34474
Phone (352) 237-3768

4377 Woodbine Rd
Pace, FL 32571
Phone (850) 995-4555

460 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 266-7500

2650 Creighton Rd
Pensacola, FL 32504
Phone (850) 479-1422

3960 W Navy Blvd
Ste 1
Pensacola, FL 32507
Phone (850) 455-0120

11834 County Road 101
The Villages, FL 32162
Phone (352) 753-4014

Interoperability endpoints

  • Direct secure messaging: ssummerton@gulfcoastvisioncenterpensacola.eyefinity-direct.com

Organizations & group practices 9

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1437238912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 SCENIC HWY APT F",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325147921",
            "telephone_number": "239-438-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047382",
            "telephone_number": "850-542-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2954 S Blue Angel Pkwy",
            "address_2": "Vision Center",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32506",
            "country_code": "US",
            "telephone_number": "850-458-4996",
            "fax_number": "850-458-4946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4965 Hwy 90",
            "address_2": "Vision Center",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "32571",
            "country_code": "US",
            "telephone_number": "850-292-6371",
            "fax_number": "850-995-8638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERTON",
        "first_name": "SUSAN",
        "middle_name": "JANETTE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-03-28",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "919737",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "204312220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SUMMERTON",
            "prefix": "DR.",
            "credential": "OD, CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.