Individual provider Active NPI

Soyoung Sung, M.D.

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1194786731
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 93577 Issued in FL
Practice address
1955 1St Ave N
St Petersburg, FL 33713-8941
Phone
(727) 894-3937
Fax
(727) 821-0771
NPI assigned
Mar 31, 2006
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 93577 FL Primary

Addresses

Primary practice location

1955 1St Ave N
St Petersburg, FL 33713-8941

Mailing address

1955 1St Ave N
St Petersburg, FL 33713-8941
Phone (727) 894-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000343 FL Practitioner - Ophthalmology 7517953227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 93577FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orion T. Ayer Jr. MD PA Ophthalmology CurrentSince Oct 1, 2005 Accepting new patients
U.N.I. Care Corporation Ophthalmology PastSince Jul 1, 2012 Accepting new patients
Medical Surgical Eye Care Services PC Ophthalmology PastSince Oct 1, 1990 Accepting new patients

Locations

1955 1st Ave N
St Petersburg, FL 33713
Phone (727) 894-3937

1955 1st Ave N
Fl 2
St Petersburg, FL 33713

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1194786731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138941",
            "telephone_number": "727-894-3937",
            "fax_number": "727-821-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138941",
            "telephone_number": "727-894-3937",
            "fax_number": "727-821-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "SOYOUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 93577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.