DR. KATIE LYNNE SUTTER (NPI# 1043651128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043651128 |
| Entity Type | Individual |
| Full Name | DR. KATIE LYNNE SUTTER |
| Credential | OD |
| Practice Address |
6101 Newport Rd Ste A Portage MI 49002-9237 |
| Practice Telephone | 2693826500 |
| Practice Fax Number | 2693822286 |
| Mailing Telephone | 2693826500 |
| Mailing Fax Number | 2693822286 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
4901004789 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE NUMBER | 4901004789 | 01 |
| Street Address |
6101 NEWPORT RD STE A |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-9237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295101889 | Luigi Greco | Optometrist | 6101 Newport Rd Ste A, Portage, MI 49002-9237 | 2015-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922350214 | Children's Eye Care PC | Optometrist | 42700 Garfield, Ste 200, Clinton Twp, MI 48038 | 2012-10-10 |
| 1205827383 | Paul Kent Voreis | Optometrist | 17901 Huron River Dr, Suite 101, New Boston, MI 48164-3200 | 2005-10-29 |
| 1235481516 | Children's Eye Care, PC | Optometrist | 7001 Orchard Lake Rd, Suite 200, West Bloomfield, MI 48322-3604 | 2012-10-10 |
| 1568714855 | Children's Eye Care, PC | Optometrist | 3901 Beaubien St, Detroit, MI 48201-2119 | 2012-10-10 |
| 1467704759 | Children's Eye Care, PC | Optometrist | 22731 Newman St Ste 245, Dearborn, MI 48124-2023 | 2012-10-10 |
| 1124338736 | Swan Optometry Services, PC | Optometrist | 25 N Main St, Rockford, MI 49341-1281 | 2010-10-15 |
| 1225278880 | Pediatric Ophthalmology PC | Optometrist | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3707 | 2009-02-23 |
| 1588680938 | Dr Heidi Johnson Od PC | Optometrist | 2822 Venture Dr, Marquette, MI 49855-8631 | 2006-07-15 |
| 1972553899 | Robert J Peters | Optometrist | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-05-11 |
Please comment or provide details below to improve the information on DR. KATIE LYNNE SUTTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.