AMY E. W. SUMNER (OD) – Optometrist, NPI 1063084101

AMY E. W. SUMNER (OD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG003851 (PA). The NPI Number for AMY E. W. SUMNER (OD) is 1063084101

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMY E. W. SUMNER (OD)
NPI
1063084101
Phone
(410) 920-9012
Address
2804 MEMPHIS ST
Enumeration Date
16 July 2021
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
2017972747
Graduation Year
2021 (5 years ago)
PAC ID
9638573199
Group Practice PAC ID
1153310180
Professional Enrollment ID
I20220321000262
Address ID
NJ074105624FA4XXXXRDXX556
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for AMY E. W. SUMNER (OD)

  • 2804 MEMPHIS ST

    PHILADELPHIA, PA 191344208

    Phone: (410) 920-9012

    Type: Mailing

  • 1420 WALNUT ST STE 600

    PHILADELPHIA, PA 191024005

    Phone: (215) 735-6300

    Fax: (215) 735-2244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-03-21

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
I20210928000312IOptometryNJTBD
I20220321000262IOptometryPATBD

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
92012Established patient problem focused exam of visual system361342$0
92014Established patient complete exam of visual system238233$0
92004New patient complete exam of visual system221220$0
92250Photography of the retina123122$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 19134)

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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: 1153310180View full group profile
NameSpecialtyState
O P T O M E T R YNJ
O P T O M E T R YOH
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YNJ

Reviews

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Frequently asked questions

Does AMY E. W. SUMNER (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMY E. W. SUMNER (OD) uses 1063084101.
Does the file indicate AMY E. W. SUMNER (OD) is practicing under active NPI?
Directory data currently reports AMY E. W. SUMNER (OD) as active.
What healthcare role does AMY E. W. SUMNER (OD) hold?
Scheduling teams often label AMY E. W. SUMNER (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What area does AMY E. W. SUMNER (OD) serve?
AMY E. W. SUMNER (OD)'s listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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