Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawn T Sussmane, OD

Individual provider Optometrist · NPI 1386644151

Shawn T Sussmane, OD is an Optometry in Knoxville, Tennessee. Qualified in 1999, 27 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
27
Licensed in
FL, TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1124 E Weisgarber Rd Ste 104
Knoxville, TN 37909-2686
Phone: (865) 584-2127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 Keller Ln, Maryville, TN 37801-6201 — (865) 681-3937

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC6391 (FL)
Optometrist Taxonomy 152W00000X · Licence TN2032 (TN)

Record details

NPI number1386644151
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 22, 2005
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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