| Dr Katie Lynne Sutter, OD | |
|
6101 Newport Rd Ste A, Portage, MI 49002-9237 | |
| (269) 382-6500 | |
| (269) 382-2286 |
| Full Name | Dr Katie Lynne Sutter |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 12 Years |
| Location | 6101 Newport Rd Ste A, Portage, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043651128 | NPI | - | NPPES |
| 4901004789 | Other | MI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WP0200X | Optometrist - Pediatrics | 4901004789 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kalamazoo Optometry Pc | 7012819659 | 2 |
| Provider Name | Kalamazoo Optometry Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417148669 PECOS PAC ID: 7012819659 Enrollment ID: O20040123000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katie Lynne Sutter, OD 6101 Newport Rd Ste A, Portage, MI 49002-9237 Ph: (269) 382-6500 | Dr Katie Lynne Sutter, OD 6101 Newport Rd Ste A, Portage, MI 49002-9237 Ph: (269) 382-6500 |
Mr. David C Mcclintic, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6123 S Westnedge Ave, Portage, MI 49002 Phone: 269-327-7079 Fax: 269-327-7165 | |
Dr. Lynnette Raye Blostica, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3412 W Centre Ave, Portage, MI 49024 Phone: 269-329-5860 Fax: 269-329-5865 | |
David P Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 410 E Centre Ave, Portage, MI 49002 Phone: 269-327-4454 Fax: 269-327-8717 | |
Kunjal Patel, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 255 Romence Rd, Portage, MI 49024 Phone: 269-324-0800 | |
West Point Optical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6650 S Westnedge Ave, Suite 232, Portage, MI 49024 Phone: 269-237-2881 | |
Dr. Steven S. Ellinger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1612 E. Centre Ave., Portage, MI 49002 Phone: 269-329-1030 Fax: 269-329-0966 |