DR. STEPHANIE THERESA SULLIVAN OD
NPI 1942720826
Optometrist in Spencer, MA
About Dr. Stephanie Theresa Sullivan Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHANIE THERESA SULLIVAN OD (NPI 1942720826) is an individual optometrist in Spencer, Massachusetts, licensed in Massachusetts (5686) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
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. Stephanie Theresa Sullivan 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 Reassignments
4Medicare enrollment records show Stephanie Sullivan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01610
- Reassigned Medicare billing, Massachusetts enrollment
- 6 clinicians in this Medicare group
Vernon, CT 06066
- Reassigned Medicare billing, Connecticut enrollment
- 133 clinicians in this Medicare group
West Hartford, CT 06107
- Reassigned Medicare billing, Connecticut enrollment
- 5 clinicians in this Medicare group
Dublin, OH 43017
- Reassigned Medicare billing, Massachusetts enrollment
- 13 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01562 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephanie Sullivan's NPI number?
The NPI number for Stephanie Sullivan is 1942720826. It was assigned to this individual provider in the NPPES registry on June 22, 2017. The provider is also known as Stephanie T Ensey.
Where is Stephanie Sullivan located?
Stephanie Sullivan practices at 177 Main St, Spencer, MA 01562. The listed phone number is (508) 885-2219.
What is Stephanie Sullivan's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Stephanie Sullivan enrolled in Medicare?
Yes. Stephanie Sullivan 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 organizations bill Medicare for Stephanie Sullivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Sullivan reassigns Medicare benefits to 4 organizations: Family Eye Care, Inc. (Worcester, MA), Myeyedr Optometry Of Connecticut, LLC (Vernon, CT), Sight, LLC (West Hartford, CT) and Jeffrey L. Morer, Od, PC (Dublin, OH). Each 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 Stephanie Sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Sullivan accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Stephanie Sullivan 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 Stephanie Sullivan was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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. Stephanie Theresa Sullivan, OD · NPI 1942720826
Optometrist provider in Spencer, Massachusetts. Individual provider, active in the CMS NPPES registry since June 22, 2017.
## Identity
- **NPI:** 1942720826 (Entity type: Individual)
- **Enumerated:** June 22, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5686 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 177 MAIN ST, Spencer, MA 01562-1711
- **Phone:** (508) 885-2219
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Eye Care, Inc. (NPI 1073674446, Worcester, MA); Myeyedr Optometry Of Connecticut, LLC (NPI 1992207468, Vernon, CT); Sight, LLC (NPI 1437182680, West Hartford, CT); Jeffrey L. Morer, Od, PC (NPI 1477589687, Dublin, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942720826) · Data from the CMS NPPES public registry.