DR. ETHAN SUDARSKY JONES (OD) – Optometrist, NPI 1700557519

DR. ETHAN SUDARSKY JONES (OD) is a healthcare provider. based in Burlington, Vermont. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 030.0133952 (VT). The NPI Number for DR. ETHAN SUDARSKY JONES (OD) is 1700557519

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. ETHAN SUDARSKY JONES (OD)
NPI
1700557519
Phone
Not provided
Address
370 SHELBURNE RD
Enumeration Date
22 September 2021
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8024971676
Graduation Year
2021 (5 years ago)
PAC ID
7810394145
Group Practice PAC ID
9739496324
Professional Enrollment ID
I20210929000126
Address ID
VT054014937BU370XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

114 OPTOMETRY in VT

Provider Addresses for DR. ETHAN SUDARSKY JONES (OD)

  • 370 SHELBURNE RD

    BURLINGTON, VT 054014937

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-11 • Largest payer in this snapshot: CooperVision Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$14
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: 2023-06-21

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
I20210929000126IOptometryVTTBD
I20230621002084IOptometryNYTBD

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
92004New patient complete exam of visual system672671$0
92014Established patient complete exam of visual system376365$0
92012Established patient problem focused exam of visual system4947$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 9739496324View full group profile
NameSpecialtyState
O P T O M E T R YVT

Reviews

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Frequently asked questions

Can I cross-check DR. ETHAN SUDARSKY JONES (OD) using NPI 1700557519?
NPI 1700557519 belongs to DR. ETHAN SUDARSKY JONES (OD); compare other details if you need extra assurance.
Is DR. ETHAN SUDARSKY JONES (OD) shown as active in public data?
Registry records indicate DR. ETHAN SUDARSKY JONES (OD) maintains an active NPI.
What kind of doctor is DR. ETHAN SUDARSKY JONES (OD)?
DR. ETHAN SUDARSKY JONES (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Vermont is DR. ETHAN SUDARSKY JONES (OD) registered?
Use Burlington, Vermont as the headline location for DR. ETHAN SUDARSKY JONES (OD) here.
Does DR. ETHAN SUDARSKY JONES (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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