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HEATHER NICOLE SUTTON O.D.
NPI 1871901231
Optometrist in Athens, AL

Active since July 30, 2014PECOS EnrolledAccepts Medicare Assignment
110 COLLEGE ST STE B, ATHENS, AL 35611(256) 233-2393(256) 233-2309 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heather Nicole Sutton O.d. NPPES

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

HEATHER NICOLE SUTTON O.D. (NPI 1871901231) is an individual optometrist in Athens, Alabama, licensed in Alabama (S-D21-TA-986) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2014).

NPPES Registry Identity

NPI1871901231
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHEATHER NICOLE SUTTONCredential: O.D.
Location Address110 COLLEGE ST STE BAthens, AL 35611-2714
Mailing Address110 College St Ste BAthens, AL 35611-2714 · (256) 233-2393 · Fax (256) 233-2309
Phone(256) 233-2393
Fax(256) 233-2309
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2014
Enumeration DateJuly 30, 2014
✔ NPI 1871901231 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 AL · S-D21-TA-986
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.
110 COLLEGE ST STE B, Athens, AL 35611
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Other Names 1

Former Name (1)Heather Nicole Thigpen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Heather Nicole Sutton O.d. 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 ID1658592183
PECOS Enrollment IDI20141024001635
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 4

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.
26 services26 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.
24 services18 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.
16 services16 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).
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35611 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 4

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

LYDIA SMITH
Optometrist
110 COLLEGE ST STE B
ATHENS, AL 35611
Limestone County (256) 233-2393
DR. RILEY WILLIAM CAMP OD
Optometrist
110 COLLEGE ST STE B
ATHENS, AL 35611
Limestone County (256) 587-2139
DR. JACOB CONNOR SMITH OD
Optometrist
110 COLLEGE ST STE B
ATHENS, AL 35611
Limestone County (256) 233-5454
STAR OPTOMETRY AL, LLC
Optometrist
110 COLLEGE ST STE B
ATHENS, AL 35611
Limestone County (256) 233-2393

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 Heather Sutton's NPI number?

The NPI number for Heather Sutton is 1871901231. It was assigned to this individual provider in the NPPES registry on July 30, 2014. The provider is also known as Heather Nicole Thigpen.

Where is Heather Sutton located?

Heather Sutton practices at 110 College St Ste B, Athens, AL 35611. The listed phone number is (256) 233-2393.

What is Heather Sutton's specialty?

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

Is Heather Sutton enrolled in Medicare?

Yes. Heather Sutton 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 Heather Sutton accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 5 other insurers list Heather Sutton 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 Heather Sutton was last updated on July 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.