Robert Sutter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T2401 Issued in MO

Practice address

3215 S Providence Rd
Suite C
Columbia, MO 65203-5507

Phone

(573) 442-7528

Fax

(573) 874-0698

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558431593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 S PROVIDENCE RD",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-442-7528",
            "fax_number": "573-874-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 S PROVIDENCE RD",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035507",
            "telephone_number": "573-442-7528",
            "fax_number": "573-874-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie Early MD PC
• Ashlee Sutherland, AGPCNP-BC
• Charles Sutherland, DO
• Jennifer Kaye Sutherland, D.C.
• William L Sutherland, MED
• Maria Luisa Suzzarini Torrealba, IBCLC
• Kristi Sveum, MSW, LCSW
• Pavel Svintozelsky, MD
• Charles M. Swaney, M.D.
• Rebecca Jan Swaney, MD

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.