Individual provider Active NPI

Susan T Disario, OD

  • Optometrist
  • Bluffton, SC
National Provider Identifier
1760445449
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1048 Issued in SC
Practice address
4 Okatie Ctr Blvd
Suite 102
Bluffton, SC 29909-7529
Phone
(843) 705-3333
Fax
(843) 705-3334
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1048 SC Primary

Addresses

Primary practice location

4 Okatie Ctr Blvd
Suite 102
Bluffton, SC 29909-7529

Mailing address

4720 Waters Ave
Savannah, GA 31404-6292
Phone (912) 354-4800

Other identifiers 4

IdentifierTypeStateIssuer
9143OtherSCMEDICARE GROUP
1760445449OtherSCMEDICARE RAILROAD
DA9642MedicaidSC
D10487MedicaidSC

Other names 1

  • Dr. Susan T. Disario Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040506000037 SC Practitioner - Optometry 3678561685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Eye Institute of the Southeast, LLCGroup PAC ID 0840351458, 20 clinicians

Practice addresses (Care Compare)

4 Okatie Ctr Blvd S
Bluffton, SC 29909-7529
Phone (843) 705-3333

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Eye Institute of the Southeast, LLC Optometrist CurrentSince Jan 1, 2009 Accepting new patients
Georgia Eye Institute of the Southeast, LLC Optometrist CurrentSince Jan 1, 2009 Accepting new patients
Georgia Eye Institute, Inc. Optometrist Past Accepting new patients
Georgia Eye Institute of the Southeast, LLC Optometrist Past Accepting new patients
Georgia Eye Institute of the Southeast, LLC Optometrist Past Accepting new patients

Locations

4720 Waters Ave
Savannah, GA 31404
Phone (912) 350-4800

4 Okatie Center Blvd S
Okatie, SC 29909
Phone (843) 705-3333

4 Okatie Center Blvd S
Ste 102
Okatie, SC 29909
Phone (843) 705-3333

Interoperability endpoints

  • Direct secure messaging: susan.disario.p1@direct.gaeyeinstitute.nextgenshare.com

Organizations & group practices 5

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1760445449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046292",
            "telephone_number": "912-354-4800",
            "fax_number": "912-629-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OKATIE CTR BLVD",
            "address_2": "SUITE 102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097529",
            "telephone_number": "843-705-3333",
            "fax_number": "843-705-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISARIO",
        "first_name": "SUSAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9143",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1760445449",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9642",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10487",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DISARIO",
            "middle_name": "T.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.