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DR. STEPHANIE THERESA SULLIVAN OD
NPI 1942720826
Optometrist in Spencer, MA

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
177 MAIN ST, SPENCER, MA 01562(508) 885-2219 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Dec 18, 2020, Mar 10, 2020 and 1 more (4 updates tracked since 2017).

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

NPI1942720826
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEPHANIE THERESA SULLIVANCredential: OD
Location Address177 MAIN STSpencer, MA 01562-1711
Mailing Address4 Joanna DrRutland, MA 01543-1245
Phone(508) 885-2219
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 22, 2017
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1942720826 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 MA · 5686✔ Licensed in CT · 3022
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.
177 MAIN ST, Spencer, MA 01562
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Other Names 1

Former Name (1)Stephanie T Ensey

Secondary Practice Locations 2

Location 1385 Southbridge StAuburn, MA 01501-2498 · Phone (508) 721-9700
Location 2335 Park AveWorcester, MA 01610-1000 · Phone (508) 753-5103

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 Louisiana, Blue Cross and Blue Shield of Montana 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

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.

PECOS PAC ID1456615434
PECOS Enrollment IDI20250421000128
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.

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.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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

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

FAMILY EYE CARE, INC.
Optometrist
177 MAIN ST
SPENCER, MA 01562
Worcester County (508) 885-2219

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.

What insurance does Stephanie Sullivan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers 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 20 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.