DR. GLEB V SUKHOVOLSKIY OD
NPI 1245515394
Optometrist in Tacoma, WA
About Dr. Gleb V Sukhovolskiy Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLEB V SUKHOVOLSKIY OD (NPI 1245515394) is an individual optometrist in Tacoma, Washington, licensed in Washington (OD60483702) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Gleb V Sukhovolskiy Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Gleb Sukhovolskiy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98409
- Reassigned Medicare billing, Washington and Montana enrollments
- Medicare enrollment name: Pacific Cataract And Laser Institute Inc PC
- Also billed through NPI 1114978848 (Montana)
- 74 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98409
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gleb Sukhovolskiy's NPI number?
The NPI number for Gleb Sukhovolskiy is 1245515394. It was assigned to this individual provider in the NPPES registry on October 19, 2011.
Where is Gleb Sukhovolskiy located?
Gleb Sukhovolskiy practices at 2915 S Alder St, Tacoma, WA 98409. The listed phone number is (253) 473-0275.
What is Gleb Sukhovolskiy's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gleb Sukhovolskiy enrolled in Medicare?
Yes. Gleb Sukhovolskiy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gleb Sukhovolskiy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gleb Sukhovolskiy reassigns Medicare benefits to Pacific Cataract And Laser Institute, Inc., P.C. (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gleb Sukhovolskiy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gleb Sukhovolskiy accept?
Health plans from Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and Mountain Health CO-OP and 3 other insurers list Gleb Sukhovolskiy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Gleb Sukhovolskiy was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Gleb V Sukhovolskiy, OD · NPI 1245515394
Optometrist provider in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since October 19, 2011.
## Identity
- **NPI:** 1245515394 (Entity type: Individual)
- **Enumerated:** October 19, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OD60483702 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2915 S ALDER ST, Tacoma, WA 98409-4803
- **Phone:** (253) 473-0275 · **Fax:** (253) 473-0706
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Pacific Cataract And Laser Institute, Inc., P.C. (NPI 1467629147, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2014
## Record status
- **NPPES last updated:** December 7, 2020
- **Other identifiers:** Medicaid 2121025 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1245515394) · Data from the CMS NPPES public registry.