Active NPI
Sunita N Sunesra, OD
- Optometrist
- Grand Prairie, TX
National Provider Identifier
1245666957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8328-T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8328 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Vision Care PLLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.