Individual provider Active NPI

Sunita N Sunesra, OD

  • Optometrist
  • Grand Prairie, TX
National Provider Identifier
1245666957
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8328-T Issued in TX
Practice address
2650 S State Highway 161
Grand Prairie, TX 75052
Phone
(817) 213-6607
Fax
(817) 608-7879
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8328-T TX Primary

Addresses

Primary practice location

2650 S State Highway 161
Grand Prairie, TX 75052

Mailing address

2650 S State Highway 161
Grand Prairie, TX 75052-7205
Phone (817) 213-6607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140103000358 TX Practitioner - Optometry 7911135694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2650 S State Hwy 161
Grand Prairie, TX 75052-7205
Phone (817) 213-6607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8328TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Vision Care PLLC Optometrist CurrentSince Nov 4, 2013 Accepting new patients

Locations

2650 S Highway 161
Grand Prairie, TX 75052
Phone (469) 805-6330

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1245666957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S STATE HIGHWAY 161",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527205",
            "telephone_number": "817-213-6607",
            "fax_number": "817-608-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S STATE HIGHWAY 161",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "817-213-6607",
            "fax_number": "817-608-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNESRA",
        "first_name": "SUNITA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8328-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.