Individual provider Active NPI

Sonya Okungu, OD

  • Optometrist
  • Sandy Springs, GA
National Provider Identifier
1205786175
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3768 Issued in GA
Practice address
1 Glenlake Pkwy Ste 650
Sandy Springs, GA 30328-3590
Phone
(800) 485-9196
NPI assigned
Jan 30, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3768 GA Primary
Pediatric Optometrist 152WP0200X 3981 TN

Addresses

Primary practice location

1 Glenlake Pkwy Ste 650
Sandy Springs, GA 30328-3590

Mailing address

1 Glenlake Pkwy Ste 650
Sandy Springs, GA 30328-3590
Phone (800) 485-9196

Other practice location 1

12100 Wilshire Blvd Ste 1275
Los Angeles, CA 90025-7143
Phone (800) 485-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260319002516 TN Practitioner - Optometry 9436633237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1245 Madison Ave
Memphis, TN 38104-2222

2540 Broad Ave
Apt 407
Memphis, TN 38112-2612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3768GAMDOptometrist
3981TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern College of Optometry Optometrist CurrentSince Feb 3, 2026 Accepting new patients
Eecarman OD PC Optometrist Past Accepting new patients
Optimist LLC Optometrist PastSince Mar 7, 2018 Accepting new patients

Locations

1245 Madison Ave
Memphis, TN 38104
Phone (901) 722-3250

1350 Concourse Ave
Ste 264
Memphis, TN 38104
Phone (901) 252-3670

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": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1205786175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GLENLAKE PKWY STE 650",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283590",
            "telephone_number": "800-485-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLENLAKE PKWY STE 650",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283590",
            "telephone_number": "800-485-9196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12100 Wilshire Blvd Ste 1275",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900257143",
            "country_code": "US",
            "telephone_number": "800-485-9196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKUNGU",
        "first_name": "SONYA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "3768",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TN",
            "license": "3981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.