Active NPI
Sach M. Suitt, LDO
- Optician
- Anchorage, AK
National Provider Identifier
1679866958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 278
- Practice address
- 3561 E Tudor Rd Ste 8
Anchorage, AK 99507-1200 - Phone
- (800) 478-5510
- Fax
- (800) 637-4104
- NPI assigned
- May 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 278 | AK | Primary |
Addresses
Primary practice location
3561 E Tudor Rd Ste 8
Anchorage, AK 99507-1200
Mailing address
3561 E Tudor Rd Ste 8
Anchorage, AK 99507-1200
Phone (800) 478-5510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278 | Other | AK | STATEOF ALASKA LICENSED DISPENSING OPTICIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278 | AK | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1679866958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3561 E TUDOR RD STE 8",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071200",
"telephone_number": "800-478-5510",
"fax_number": "800-637-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3561 E TUDOR RD STE 8",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995071200",
"telephone_number": "800-478-5510",
"fax_number": "800-637-4104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUITT",
"first_name": "SACH",
"middle_name": "M.",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-19",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AK",
"license": "278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATEOF ALASKA LICENSED DISPENSING OPTICIAN",
"identifier": "278",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.