Active NPI
Dr. Alice C. Sun & Associates, PC
- Corneal and Contact Management Optometrist
- Charleston, SC
National Provider Identifier
1245303270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 1111
- Legal business name
- DR. ALICE C. SUN & ASSOCIATES, PC
- Practice address
- 1231 Folly Rd
Charleston, SC 29412-4105 - Phone
- (843) 795-3400
- Fax
- (843) 795-3435
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alice Sun, O.D.
- Title
- President
- Phone
- (843) 795-3400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 1111 | SC | Primary |
Addresses
Primary practice location
1231 Folly Rd
Charleston, SC 29412-4105
Mailing address
1231 Folly Rd
Charleston, SC 29412-4105
Phone (843) 795-3400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10403 | Other | SC | SPECTERA |
| D6995 | Other | SC | MEDCOST |
| 47104 | Other | SC | DAVIS VISION |
| DA9668 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Charleston, SC
- NPI 1073520805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355875200000",
"number": "1245303270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1231 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124105",
"telephone_number": "843-795-3400",
"fax_number": "843-795-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124105",
"telephone_number": "843-795-3400",
"fax_number": "843-795-3435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ALICE C. SUN & ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2012-12-19",
"status": "A",
"authorized_official_last_name": "SUN",
"authorized_official_first_name": "ALICE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-795-3400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "SC",
"license": "1111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "10403",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "D6995",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "47104",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DA9668",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.