DR. GLEB V SUKHOVOLSKIY OD
NPI 1245515394
Optometrist in Tacoma, WA

Active since October 19, 2011PECOS EnrolledAccepts Medicare Assignment
2915 S ALDER ST, TACOMA, WA 98409(253) 473-0275(253) 473-0706 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2020, Jan 20, 2020 (2 updates tracked since 2020).

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

NPI1245515394
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GLEB V SUKHOVOLSKIYCredential: OD
Location Address2915 S ALDER STTacoma, WA 98409-4803
Mailing AddressPo Box 1506Chehalis, WA 98532-0409 · (360) 242-3008 · Fax (360) 807-7687
Fax(253) 473-0706
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2014
Enumeration DateOctober 19, 2011
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
NPI 1245515394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in WA · OD60483702 Licensed in WA · OD60483702OPT-OP Licensed in MT · OPT-OPT-LIC-3679
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2915 S ALDER ST, Tacoma, WA 98409

Other Identifiers 1

Medicaid2121025WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3779823018
PECOS Enrollment IDI20190322000993, I20191226000149
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
257 services257 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services89 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
93 services92 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
39 services36 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
38 services34 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
17 services17 patients

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.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
2915 S ALDER ST
TACOMA, WA 98409
Ophthalmology
2915 S ALDER ST
TACOMA, WA 98409
Optometrist
2915 S ALDER ST
TACOMA, WA 98409
Clinic/Center (Ambulatory Surgical)
2915 S ALDER ST
TACOMA, WA 98409
Optometrist
2915 S ALDER ST
TACOMA, WA 98409
Optometrist
2915 S ALDER ST
TACOMA, WA 98409
Ophthalmology
2915 S ALDER ST
TACOMA, WA 98409
Optometrist
2915 S ALDER ST
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.

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 PacificSource Health Plans 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 with the weekly NPPES data releases published by CMS.