Individual provider Active NPI

Alice Sui, OD

  • Optometrist
  • Langhorne, PA
National Provider Identifier
1801458849
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003694 Issued in PA
Practice address
360 Middletown Blvd Ste 402
Langhorne, PA 19047-1863
Phone
(215) 757-6200
Fax
(215) 750-7875
NPI assigned
Jun 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003694 PA Primary

Addresses

Primary practice location

360 Middletown Blvd Ste 402
Langhorne, PA 19047-1863

Mailing address

360 Middletown Blvd Ste 402
Langhorne, PA 19047-1863
Phone (215) 757-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201028000779 PA Practitioner - Optometry 1052721305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Advanced Eye CareGroup PAC ID 6103257738, 12 clinicians

Practice addresses (Care Compare)

360 Middletown Blvd
Suite 402
Langhorne, PA 19047-1863
Phone 30223919336283

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Eye Care CurrentSince Nov 15, 2020 Accepting new patients

Locations

360 Middletown Blvd
Ste 402
Langhorne, PA 19047
Phone (215) 757-5200

Interoperability endpoints

  • Direct secure messaging: alice.suiod.p1@direct.eabc.nextgenshare.com

Organizations & group practices 1

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": "1561852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1801458849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MIDDLETOWN BLVD STE 402",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471863",
            "telephone_number": "215-757-6200",
            "fax_number": "215-750-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MIDDLETOWN BLVD STE 402",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471863",
            "telephone_number": "215-757-6200",
            "fax_number": "215-750-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUI",
        "first_name": "ALICE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-30",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.