Individual provider Active NPI

Susan Elizabeth Rzepka, O.D.

  • Optometrist
  • Newburyport, MA
National Provider Identifier
1790958528
Registry record updated Apr 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4651 Issued in MA
Practice address
39 Green St
Newburyport, MA 01950-2652
Phone
(978) 465-8761
NPI assigned
Apr 13, 2008
Last updated
Apr 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4651 MA Primary

Addresses

Primary practice location

39 Green St
Newburyport, MA 01950-2652

Mailing address

39 Green St
Newburyport, MA 01950-2652
Phone (978) 465-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080916000117 MA Practitioner - Optometry 0648347773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appleton Eye Associates PCGroup PAC ID 0840367975, 9 clinicians

Practice addresses (Care Compare)

39 Green St
Newburyport, MA 01950-2652
Phone (978) 465-8761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4651MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Appleton Eye Associates PC Optometrist CurrentSince Jun 12, 2012 Accepting new patients
Appleton Eye Associates P.C. Optometrist CurrentSince Jun 12, 2012 Accepting new patients

Locations

77 Main St
Amesbury, MA 01913
Phone (978) 388-1060

39 Green St
Newburyport, MA 01950
Phone (978) 465-8761

Organizations & group practices 2

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": "1208044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208044800000",
    "number": "1790958528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502652",
            "telephone_number": "978-465-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GREEN ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502652",
            "telephone_number": "978-465-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZEPKA",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-13",
        "last_updated": "2008-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.