Organization Active NPI

Tom H. Sun, M.D., P.a.

  • Ophthalmology Physician
  • Tomball, TX
National Provider Identifier
1174718423
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J6258 Issued in TX
Legal business name
TOM H. SUN, M.D., P.A.
Practice address
455 School St Ste 47
Tomball, TX 77375-4688
Phone
(281) 351-7483
Fax
(281) 351-9771
NPI assigned
Sep 10, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Tom H Sun, M.D.NPI 1306803283
Title
President
Phone
(281) 351-7483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X J6258 TX Primary

Addresses

Primary practice location

455 School St Ste 47
Tomball, TX 77375-4688

Mailing address

455 School St Ste 47
Tomball, TX 77375-4688
Phone (281) 351-7483

Other identifiers 2

IdentifierTypeStateIssuer
0043HGOtherTXBLUE CROSS BLUE SHIELD
1492415-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

455 School St
Ste 47
Tomball, TX 77375
Phone (281) 351-7483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1174718423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 47",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754688",
            "telephone_number": "281-351-7483",
            "fax_number": "281-351-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 47",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754688",
            "telephone_number": "281-351-7483",
            "fax_number": "281-351-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM H. SUN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-351-7483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J6258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0043HG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1492415-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.