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DR. JEFFREY BERNARD SUTRO O.D.
NPI 1619974771
Optometrist in Lynnwood, WA

Active since July 05, 2005PECOS Enrolled
5017 196TH ST SW, SUITE 204, LYNNWOOD, WA 98036(425) 778-1588(425) 778-2523 Get Directions Write a Review

NPPES record last updated: January 6, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jeffrey Bernard Sutro O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY BERNARD SUTRO O.D. (NPI 1619974771) is an individual optometrist in Lynnwood, Washington, licensed in Washington (1909TX) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619974771
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY BERNARD SUTROCredential: O.D.
Location Address5017 196TH ST SW, SUITE 204Lynnwood, WA 98036-6123
Mailing Address5017 196th St Sw, Suite 204Lynnwood, WA 98036-6123 · (425) 778-1588 · Fax (425) 778-2523
Phone(425) 778-1588
Fax(425) 778-2523
Sole ProprietorYes
Enumeration DateJuly 5, 2005
Last NPPES UpdateJanuary 6, 2010
✔ NPI 1619974771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · 1909TX
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.
5017 196TH ST SW, Lynnwood, WA 98036
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Other Identifiers 3

Medicare UPINU11504
Medicare PING115000261WA
Medicaid2011963WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Bernard Sutro O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

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.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services12 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98036 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARISSA N. BENDER DMD, MBA
Dentist (General Practice)
5017 196TH ST SW, STE 202
LYNNWOOD, WA 98036
Snohomish County (425) 778-5665
DR. THOMAS C SONG DDS
Dentist (General Practice)
5017 196TH ST SW, SUITE 102
LYNNWOOD, WA 98036
Snohomish County (425) 776-1169
MRS. CARRIE A ROBLES L.M.P.
Specialist
5017 196TH ST SW, SUITE 209
LYNNWOOD, WA 98036
Snohomish County (425) 712-8578
HILLARY MALU LMP
Specialist
5017 196TH ST SW, STE. 209
LYNNWOOD, WA 98036
Snohomish County (206) 755-5239
PASCAL CHIH-CHAO LEE D.D.S.
Dentist (General Practice)
5017 196TH ST SW, SUITE 102
LYNNWOOD, WA 98036
Snohomish County (425) 771-7333

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 Jeffrey Sutro's NPI number?

The NPI number for Jeffrey Sutro is 1619974771. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Jeffrey Sutro located?

Jeffrey Sutro practices at 5017 196th St SW Suite 204, Lynnwood, WA 98036. The listed phone number is (425) 778-1588.

What is Jeffrey Sutro's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jeffrey Sutro enrolled in Medicare?

Yes. Jeffrey Sutro is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Sutro accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeffrey Sutro 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 Jeffrey Sutro was last updated on January 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.