DR. SUSAN SIMPSON SULLENBERGER O.D.
NPI 1700092350
Optometrist in Deland, FL

Q: What is Susan Sullenberger's NPI number?

The NPI number for Susan Sullenberger is 1700092350. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Susan Sullenberger's specialty?

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

Active since May 14, 2007PECOS Enrolled

1699 N WOODLAND BLVD, DELAND, FL 32720(386) 734-2240(386) 734-2240 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Susan Simpson Sullenberger O.d. NPPES

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

DR. SUSAN SIMPSON SULLENBERGER O.D. (NPI 1700092350) is an individual optometrist in Deland, Florida, licensed in Florida (OPC 0003530) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1700092350

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. SUSAN SIMPSON SULLENBERGERCredential: O.D.

Location Address1699 N WOODLAND BLVDDeland, FL 32720-1803

Mailing Address1699 N Woodland BlvdDeland, FL 32720-1803 · (386) 734-2240 · Fax (386) 734-2240

Phone(386) 734-2240

Fax(386) 734-2240

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700092350 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 FL · OPC 0003530

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.

1699 N WOODLAND BLVD, Deland, FL 32720

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Other Identifiers 1

Medicare ID-Type Unspecified2083ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Simpson Sullenberger O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254328321

PECOS Enrollment IDI20120410000513

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.

Medicare Billing Reassignments

Medicare enrollment records show Susan Sullenberger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Eye Associates Inc

Same address

Optometrist

1699 N WOODLAND BLVD
Deland, FL 32720

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1356511281 (386) 734-2240

Beach Vision Holdings, PA

23 mi

Optometrist

103 FAULKNER ST
New Smyrna Beach, FL 32168

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1346516747 (396) 423-7788

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 7

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

189 services185 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.

123 services117 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

78 services78 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

39 services32 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).

30 services28 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.

20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32720 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 6

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

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