Individual provider Active NPI

Vissett Scott Sun, O.D.

  • Corneal and Contact Management Optometrist
  • Houston, TX
National Provider Identifier
1013061845
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
5163TG Issued in TX
Practice address
1234 Bay Area Blvd
Suite E
Houston, TX 77058-2538
Phone
(281) 488-2020
Fax
(281) 488-2009
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 5163TG TX
Pediatric Optometrist 152WP0200X 5163TG TX
Sports Vision Optometrist 152WS0006X 5163TG TX
Vision Therapy Optometrist 152WV0400X 5163TG TX
Occupational Vision Optometrist 152WX0102X 5163TG TX
Corneal and Contact Management Optometrist 152WC0802X 5163TG TX Primary

Addresses

Primary practice location

1234 Bay Area Blvd
Suite E
Houston, TX 77058-2538

Mailing address

1234 Bay Area Blvd
Suite E
Houston, TX 77058-2538
Phone (281) 488-2020

Other identifiers 2

IdentifierTypeStateIssuer
82769EOtherTXBLUE CROSS BLUE SHIELD
117828701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811001112 TX Practitioner - Optometry 6800888983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopping Eye Associates LLPGroup PAC ID 5193613479, 6 clinicians

Practice addresses (Care Compare)

1234 Bay Area Blvd
Suite E
Houston, TX 77058-2538
Phone (281) 488-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5163TXMDMental Health Counselor
5163TGTXMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopping Eye Associates, LLP Corneal and Contact Management CurrentSince Jun 10, 1995 Accepting new patients

Locations

421 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 482-2030

1234 Bay Area Blvd
Ste E
Houston, TX 77058
Phone (281) 488-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1013061845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-488-2020",
            "fax_number": "281-488-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BAY AREA BLVD",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582538",
            "telephone_number": "281-488-2020",
            "fax_number": "281-488-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "VISSETT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "5163TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "5163TG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "5163TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "5163TG",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "5163TG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5163TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82769E",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117828701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.