BRANDON SUDDUTH (O.D.) – Optometrist, NPI 1316370414

BRANDON SUDDUTH (O.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC4882 (FL). The NPI Number for BRANDON SUDDUTH (O.D.) is 1316370414

Main info

Male
Sole Proprietor
13 Years Of Experience
Name
BRANDON SUDDUTH (O.D.)
NPI
1316370414
Phone
(206) 419-5166
Address
13038 SURFSIDE DR
Enumeration Date
13 August 2013
Last Update Date
27 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042603839
Graduation Year
2013 (13 years ago)
PAC ID
6901038397
Group Practice PAC ID
6800936360
Professional Enrollment ID
I20140417001731
Address ID
FL322237953JA11406BLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for BRANDON SUDDUTH (O.D.)

  • 13038 SURFSIDE DR

    JACKSONVILLE, FL 322588441

    Phone: (206) 419-5166

    Type: Mailing

  • 7205 BONNEVAL RD

    JACKSONVILLE, FL 322567565

    Phone: (904) 296-0098

    Fax: (904) 861-3899

    Type: Location

  • 11406 SAN JOSE BLVD STE 1

    JACKSONVILLE, FL 322237953

    Phone: (904) 260-3839

    Fax: (904) 260-3604

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $628.

Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Vision LLC ($284).

Total Amount

$628

General + Research + Ownership

Payments

21

Total payment records

General Amount

$628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140417001731IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina154148$0
92014Established patient complete exam of visual system10097$0
92004New patient complete exam of visual system5656$0
99213Established patient office or other outpatient visit, 20-29 minutes3223$0
View full utilization report →

Insurance plans in this area (ZIP 32258)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800936360View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for BRANDON SUDDUTH (O.D.) in the U.S.?
In the U.S., BRANDON SUDDUTH (O.D.) is identified by NPI 1316370414.
Quick check: is BRANDON SUDDUTH (O.D.) active?
Public NPPES data shows BRANDON SUDDUTH (O.D.) with an active NPI status right now.
What does the directory say BRANDON SUDDUTH (O.D.) does?
Insurance directories may phrase it differently, but here BRANDON SUDDUTH (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit BRANDON SUDDUTH (O.D.) in Jacksonville, Florida?
For routing, start with Jacksonville, Florida for BRANDON SUDDUTH (O.D.), then verify phone and hours locally.
Can I export BRANDON SUDDUTH (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

First Coast Eyewear, 2001, College Street, Riverside, Jacksonville, Duval County, Florida, 32205, United States
NPI: 1952304032
4225 LAKESIDE DR
NPI: 1073515284
Shircliff Way, Riverside, Jacksonville, Duval County, Florida, 32204, United States
NPI: 1023013851
201 N HOGAN ST STE 100
NPI: 1629077649
7500, Centurion Parkway, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States
NPI: 1811997752
8771, Perimeter Park Court, Jacksonville, Duval County, Florida, 32216, United States
NPI: 1972505477
Publix, 13170, Atlantic Boulevard, Kensington, Jacksonville, Duval County, Florida, 32225, United States
NPI: 1366435604
1580 Blanding Blvd
NPI: 1699768689
PSC 400 BOX 7563
NPI: 1225021637