SUSAN SUNNY (OD) – Optometrist, NPI 1508412065

SUSAN SUNNY (OD) is a healthcare provider. based in Fraser, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005407 (MI). The NPI Number for SUSAN SUNNY (OD) is 1508412065

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN SUNNY (OD)
NPI
1508412065
Phone
(586) 296-7250
Address
33080 UTICA RD
Enumeration Date
12 August 2019
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7083617800
Graduation Year
2019 (7 years ago)
PAC ID
4486986197
Group Practice PAC ID
6608317706
Professional Enrollment ID
I20241113002613
Address ID
IL604633147PA7340XDRXX401

Contacts

Secure Messaging
ssunny@frasereye.direct.eyemdemr.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,204 OPTOMETRY in MI

Provider Addresses for SUSAN SUNNY (OD)

  • 33080 UTICA RD

    FRASER, MI 480262038

    Phone: (586) 296-7250

    Fax: (586) 296-7256

    Type: Mailing

  • 1701 SOUTH BLVD E

    ROCHESTER HILLS, MI 483076122

    Phone: (248) 293-5161

    Fax: (248) 564-2954

    Type: Location

  • 58841 PETERS BARN DR

    SOUTH LYON, MI 481788294

    Phone:

    Type: Mailing

  • Walmart, 44575, Mound Road, Sterling Heights, Macomb County, Michigan, 48314, United States

    STERLING HEIGHTS, MI 483141319

    Phone: (224) 723-4826

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $390.

Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Alcon Vision LLC ($141).

Total Amount

$390

General + Research + Ownership

Payments

17

Total payment records

General Amount

$390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

Latest reported date

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: 2024-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191030001519IOptometryMITBD
I20241113002613IOptometryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11183$0
92014Established patient complete exam of visual system9996$0
92250Photography of the retina5148$0
92134Imaging of retina4742$0
99214Established patient office or other outpatient visit, 30-39 minutes3633$0
View full utilization report →

Insurance plans in this area (ZIP 48026)

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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: 6608317706View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

How is SUSAN SUNNY (OD) identified in CMS data?
CMS-hosted NPPES data lists SUSAN SUNNY (OD) with NPI 1508412065.
Is SUSAN SUNNY (OD) still practicing?
SUSAN SUNNY (OD) is currently listed as active in the public NPI registry.
What taxonomy line describes SUSAN SUNNY (OD)?
For research purposes, treat SUSAN SUNNY (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN SUNNY (OD)?
SUSAN SUNNY (OD)'s geographic hint is Fraser, Michigan in our summary view.
Is the information about SUSAN SUNNY (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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