Individual provider Active NPI

Nikolas Sutsko, OD

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1649790163
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003446 Issued in PA
Practice address
1601 Kirkwood Hwy
Wilmington, DE 19805
Phone
(302) 994-2511
NPI assigned
Jun 26, 2017
Last updated
Aug 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003446 PA Primary

Addresses

Primary practice location

1601 Kirkwood Hwy
Wilmington, DE 19805

Mailing address

870 Buttermilk CT
Harrisburg, PA 17111-4654
Phone (717) 756-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181009000149 PA Practitioner - Optometry 0749532471 Reassigns benefits to 1 organization
I20200915002594 MD Practitioner - Optometry 0749532471 Reassigns benefits to 1 organization
I20200918000056 DC Practitioner - Optometry 0749532471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sightrite Medical MD LLCGroup PAC ID 8325392004, 6 clinicians
Sight Services PCGroup PAC ID 7315263365, 7 clinicians

Practice addresses (Care Compare)

1300 Windlass Dr
Middle River, MD 21220-4126
Phone (212) 764-0008

2100 N 49TH St
Philadelphia, PA 19131-2633
Phone (215) 877-1565

710 Obrecht Rd
Sykesville, MD 21784-7650
Phone (212) 764-0008

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Services P.C. Optometrist CurrentSince Aug 21, 2018 Accepting new patients
Sightrite Medical MD LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Sightrite Medical DC PLLC Optometrist CurrentSince Sep 1, 2020 Accepting new patients

Locations

2425 25th St SE
Washington, DC 20020
Phone (202) 678-0013

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

600 Largo Rd
Uppr Marlboro, MD 20774
Phone (301) 350-5555

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

100 Edella Rd
South Abington Township, PA 18411
Phone (570) 586-1002

Organizations & group practices 3

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1649790163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 BUTTERMILK CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171114654",
            "telephone_number": "717-756-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-994-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTSKO",
        "first_name": "NIKOLAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.