Individual provider Active NPI

Susanne Stumpf Cunningham, O.D.

  • Optometrist
  • Columbus, MS
National Provider Identifier
1730133828
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
693 Issued in MS
Practice address
1823 5TH St N
Columbus, MS 39705-2203
Phone
(662) 328-5225
Fax
(662) 327-5950
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 693 MS Primary

Addresses

Primary practice location

1823 5TH St N
Columbus, MS 39705-2203

Mailing address

1823 5TH St N
P.O. Box 9099
Columbus, MS 39705-2203
Phone (662) 328-5225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040831000648 MS Practitioner - Optometry 1456326784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Vision Group, PLLCGroup PAC ID 6204187909, 4 clinicians
Curtis Optometry Group PLLCGroup PAC ID 8123395472, 6 clinicians

Practice addresses (Care Compare)

110 Alabama St
Columbus, MS 39702-5221
Phone (662) 329-1233

1823 5TH St N
Columbus, MS 39705-2203
Phone (662) 328-5228

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
693MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis Optometry Group PLLC Optometrist CurrentSince Apr 17, 2017 Accepting new patients
Columbus Vision Group, PLLC Optometrist CurrentSince Oct 15, 2018 Accepting new patients
Canton Vision Clinic, P.a. Optometrist Past Accepting new patients
Optical 2000 Optometrist PastSince Jul 12, 2005 Accepting new patients
Professional Eyecare Associates ,Inc Optometrist Past Accepting new patients
Optical 2000 of Flora PA Optometrist Past Accepting new patients

Locations

110 Alabama St
Columbus, MS 39702
Phone (662) 329-1233

1823 5th St N
Columbus, MS 39705
Phone (662) 328-5225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1730133828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 5TH ST N",
            "address_2": "P.O. BOX 9099",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052203",
            "telephone_number": "662-328-5225",
            "fax_number": "662-327-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052203",
            "telephone_number": "662-328-5225",
            "fax_number": "662-327-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "SUSANNE",
        "middle_name": "STUMPF",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.