DR. RYAN MICHAEL SUTTERER (NPI# 1619281789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619281789 |
| Entity Type | Individual |
| Full Name | DR. RYAN MICHAEL SUTTERER |
| Credential | O.D. |
| Practice Address |
503 W. Main Street Marble Hill MO 63764 |
| Mailing Address |
40 E North St Eureka MO 63025-1205 |
| Practice Telephone | 5732382033 |
| Practice Fax Number | 5732382915 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6369382650 |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2011-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2010024648 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1619281789 | 05 |
| Street Address |
503 W. MAIN STREET |
| City | MARBLE HILL |
| State | MO |
| Zip Code | 63764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201935 | J & J Assisted Living LLC | Assisted Living Facility | 104 Wesbecher Ln, Marble Hill, MO 63764 | 2020-10-02 |
| 1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
| 1467950196 | Ronald Brand | Counselor | 103 El Nathan Drive, Marble Hill, MO 63764 | 2018-01-29 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1699293274 | Alyssa Naschell Grado | Physical Therapist | 702-mo 34, Marble Hill, MO 63764 | 2017-09-05 |
| 1063969699 | Julie Elfrink | Registered Nurse | 107 N. Hwy 51, Marble Hill, MO 63764 | 2016-09-01 |
| 1194022921 | Suzanne Raye Matthews | Nurse Practitioner | 307 Broadway, Marble Hill, MO 63764 | 2011-02-14 |
| 1215267976 | L. Mark Milde | Dentist | 101 First St., Marble Hill, MO 63764 | 2009-12-31 |
| 1194985739 | J & J Assistive Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 Wesbecher, Marble, MO 63764 | 2008-06-16 |
| 1962565499 | Cross Trails Medical Center | Clinic/Center | 109 Hwy 51 North, Marble Hill, MO 63764 | 2006-12-18 |
| Find all providers in zip 63764 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553373 | Eye Surgery Consultants LLC | Optometrist | 2530 Lucy Lee Pkwy, Poplar Bluff, MO 63901-2436 | 2020-09-16 |
| 1811500069 | Pec Chesterfield, LLC | Optometrist | 317 Clarkson Rd Ste 102, Ellisville, MO 63011-2271 | 2020-08-27 |
| 1700402500 | Robert William Duncan | Optometrist | 341a N Creek Dr, Festus, MO 63028-2657 | 2020-06-18 |
| 1871118992 | Erik Michael Peyton | Optometrist | 6043 Mid Rivers Mall Dr, Saint Peters, MO 63304-1108 | 2020-06-15 |
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013532464 | Novack Vision Care, LLC | Optometrist | 1166 W 103rd St, Kansas City, MO 64114-4511 | 2020-06-11 |
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1275158859 | Krystal Rae Adams Matson | Optometrist | 608 N Maguire St, Warrensburg, MO 64093-1420 | 2020-06-10 |
| 1720601719 | Katelyn Hardy | Optometrist | 601 E Russell Ave Ste A, Warrensburg, MO 64093-9601 | 2020-05-25 |
| Find all providers with the same taxonomy | ||||
| City | MARBLE HILL |
| Zip Code | 63764 |
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| 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.