Individual provider Active NPI

Susan Sunny, OD

  • Optometrist
  • Rochester Hills, MI
National Provider Identifier
1508412065
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005407 Issued in MI
Practice address
1701 South Blvd E
Rochester Hills, MI 48307-6122
Phone
(248) 293-5161
Fax
(248) 564-2954
NPI assigned
Aug 12, 2019
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005407 MI Primary

Addresses

Primary practice location

1701 South Blvd E
Rochester Hills, MI 48307-6122

Mailing address

33080 Utica Rd
Fraser, MI 48026-2038
Phone (586) 296-7250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssunny@frasereye.direct.eyemdemr.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20241113002613 IL Practitioner - Optometry 4486986197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krates Eye Centers PLLCGroup PAC ID 6608317706, 7 clinicians

Practice addresses (Care Compare)

7340 W College Dr
Suite 2SE
Palos Heights, IL 60463-3147
Phone (708) 361-7800

Merit-based Incentive Payment System (MIPS)

Final score
92.14 of 100Reported as group
Quality
97.39
Improvement activities
40
Cost
77.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005407MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Krates Eye Centers PLLC CurrentSince Oct 1, 2024 Accepting new patients
Michigan Eye Care Provider PLLC Optometrist CurrentSince May 31, 2022 Accepting new patients
Pcor LLC Optometrist CurrentSince Oct 21, 2019 Accepting new patients
Pcor, LLC Optometrist CurrentSince Oct 21, 2019 Accepting new patients
Eye Care Providers of Michigan PC Past Accepting new patients
Stephen G Krates DO PC PastSince Oct 1, 2024 Accepting new patients

Locations

15300 West Ave
Ste 315
Orland Park, IL 60462
Phone (312) 767-5900

7340 W College Dr
Palos Heights, IL 60463
Phone (708) 361-3233

7340 W College Dr
Ste 2SE
Palos Heights, IL 60463
Phone (708) 361-7800

33080 Utica Rd
Fraser, MI 48026
Phone (586) 218-5890

33080 Utica Rd
Ste B
Fraser, MI 48026
Phone (586) 296-7250

1000 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 982-3200

1701 South Blvd E
Rochester Hills, MI 48307
Phone (248) 293-1002

1701 South Blvd E
Ste 180
Rochester Hills, MI 48307
Phone (248) 293-5161

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: ssunny@frasereye.direct.eyemdemr.com
  • Direct secure messaging: ssunny@krateseye.direct.eyemdemr.com
  • Direct secure messaging: ssunny620110@direct.hfhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1508412065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-293-5161",
            "fax_number": "248-564-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNNY",
        "first_name": "SUSAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssunny@frasereye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "Health Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1701 South Blvd E",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483076122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.