Suzanna Elena Acosta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004074A Issued in IN

Practice address

9175 Calumet Ave
Munster, IN 46321-2805

Phone

(219) 836-7800

NPI assigned

Nov 7, 2017

Last updated

Nov 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gailmard Eye Center LLCGroup PAC ID 3577637974, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sacosta@gailmardeye.eyfinity-direct.com

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.

• Gailmard Eye Center LLC

  dba Gailmard Eye Center

  • Optometrist
  • Munster, IN
  • NPI 1982746293
  Medicare reassignment Care Compare group NPD
• A&K Kouklakis OD. P.C.

  dba Vision Quest Eye Clinics

  • Eyewear Supplier
  • Merrillville, IN
  • NPI 1235252396

  Optometrist

  Medicare reassignment NPD
• Dr. Jorge a. Benavente Optometrist PC

  • Optometrist
  • Munster, IN
  • NPI 1063740744

  IL

  Medicare reassignment NPD
• A&K Kouklakis OD P.C.

  dba Vision Quest Eye Clinics

  • Eyewear Supplier
  • Gary, IN
  • NPI 1295858371

  Optometrist

  NPD
• A&K Kouklakis OD. P.C.

  dba Vision Quest Eye Clinics

  • Optometrist
  • Hammond, IN
  • NPI 1851414379
  NPD

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1871006338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 PARKVIEW AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212027",
            "telephone_number": "219-923-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9175 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212805",
            "telephone_number": "219-836-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "SUZANNA",
        "middle_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004074A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Absolute Power Inc. (Kid Power Therapy, Inc.)
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Access Transport LLC
• Ony Achufusi, MD
• Ted George Ody Achufusi Jr., MD
• Active Day in, Inc. (Active Day of Munster)
• Sara B. Adams
• Vijay Krishna Adavelly, P.T.
• Anna Ejuile Adekugbe, M.D
• John M Adlard, MD

• Optometrist in Munster, IN
• Providers in Munster, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.