Gene Sweetnam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000626 Issued in VA

Practice address

5204A Rolling Rd
Burke Professional Center
Burke, VA 22015-1605

Phone

(703) 425-2000

Fax

(703) 425-2003

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gene.sweetnam.1@18665.direct.athenahealth.com

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.

• Gene Sweetnam, O.D., P.C.

  • Optometrist
  • Burke, VA
  • NPI 1932281532

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1972560241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204A ROLLING RD",
            "address_2": "BURKE PROFESSIONAL CENTER",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151605",
            "telephone_number": "703-425-2000",
            "fax_number": "703-425-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204A ROLLING RD",
            "address_2": "BURKE PROFESSIONAL CENTER",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151605",
            "telephone_number": "703-425-2000",
            "fax_number": "703-425-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEETNAM",
        "first_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE NUMBER",
            "identifier": "0618000626",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail M. Sullivan, LCSW
• Kimberly Sullivan, OTR/L
• Todd Patrick Sullivan, D.C.
• Susana Raygada D.M.D., P.C.
• Irrin Suvanasai
• Synergy Medical Group LLC
• Rhiannon Takemoto-Jennings, MED, LPC
• Grace Thapa, NP
• The Burke Foot and Ankle Center
• Therapeutic Change With Purpose, LLC

• Optometrist in Burke, VA
• Providers in Burke, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.