Sophia Wong Sun, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

33991TLG Issued in CA

Practice address

2014 Palmetto Ave Ste B
Pacifica, CA 94044-2796

Phone

(650) 359-2231

Fax

(650) 359-2305

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Sophia Wong Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacifica Sun Optometry Inc

  • Optometrist
  • Pacifica, CA
  • NPI 1346074994
  Medicare reassignment NPD Authorized official
• Lianna Rudyak O D a Professional Corporation

  • Optometrist
  • San Francisco, CA
  • NPI 1902333461
  Medicare reassignment
• Daniel F Goodman, MD, a Medical Group Inc.

  • Ophthalmology Physician
  • San Francisco, CA
  • NPI 1265520993
  NPD

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1093291452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 PALMETTO AVE STE B",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442796",
            "telephone_number": "650-359-2231",
            "fax_number": "650-359-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 PALMETTO AVE STE B",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442796",
            "telephone_number": "650-359-2231",
            "fax_number": "650-359-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "SOPHIA",
        "middle_name": "WONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33991TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "WONG",
            "prefix": "MS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon M Spence, R.D.
• Elaine Sta-Iglesia, LAC
• Andrea D Stephens, LMFT
• Adam A Sternak, DPM
• Amelia Owens Sullivan, MFT
• Support Network of the Bay Area
• Casey-Lynn Tamayo, CMT
• William A Tarran, DPM
• Svitlana Tashniyazova
• Annette M Taylor, MFT

• Optometrist in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.