Individual provider Active NPI

Charles Suivski, OD

  • Optometrist
  • Stuart, FL
National Provider Identifier
1922007483
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2457 Issued in FL
Practice address
2341 SE Federal Hwy
Stuart, FL 34994-4528
Phone
(772) 283-4240
Fax
(772) 221-2422
NPI assigned
Jul 18, 2005
Last updated
Feb 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 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 OPC2457 FL Primary

Addresses

Primary practice location

2341 SE Federal Hwy
Stuart, FL 34994-4528

Mailing address

2341 SE Federal Hwy
Stuart, FL 34994-4528
Phone (772) 283-4240

Other identifiers 1

IdentifierTypeStateIssuer
20220OtherFLBCBS PROVDER I.D.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080527000419 FL Practitioner - Optometry 2769551100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Suivski OD PAGroup PAC ID 6305916677, 3 clinicians

Practice addresses (Care Compare)

2341 SE Federal Hwy
Stuart, FL 34994-4528
Phone (772) 283-8813

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Suivski OD PA Optometrist CurrentSince Nov 30, 1998 Accepting new patients
Schmidts Optical Inc Past Accepting new patients

Locations

2341 SE Federal Hwy
Stuart, FL 34994
Phone (772) 283-4240

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1922007483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944528",
            "telephone_number": "772-283-4240",
            "fax_number": "772-221-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944528",
            "telephone_number": "772-283-4240",
            "fax_number": "772-221-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUIVSKI",
        "first_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVDER I.D.",
            "identifier": "20220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.