Individual provider Active NPI

Jennifer W Sun, O.D.

  • Optometrist
  • Aldie, VA
National Provider Identifier
1265660575
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001860 Issued in VA
Practice address
24560 Southpoint Dr Ste 170
Aldie, VA 20105-3504
Phone
(703) 646-8002
Fax
(703) 646-8009
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 0618001860 VA
Optometrist 152W00000X 0618001860 VA Primary

Addresses

Primary practice location

24560 Southpoint Dr Ste 170
Aldie, VA 20105-3504

Mailing address

14729 Saint Germain Dr
Centreville, VA 20121-2392
Phone (413) 222-8024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101201000415 VA Practitioner - Optometry 9638365786 Reassigns benefits to 6 organizations
I20101202000763 DC Practitioner - Optometry 9638365786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye See Optique LLCGroup PAC ID 8921511734, 3 clinicians
Eye RX - Stone Ridge LLCGroup PAC ID 0941719868, 2 clinicians

Practice addresses (Care Compare)

16830 Dumfries Rd
Dumfries, VA 22025-2056
Phone (571) 404-0188

2405 Columbia Pike
Arlington, VA 22204-4400
Phone (703) 553-1094

24560 Southpoint Dr
Suite 170
Aldie, VA 20105-3504
Phone (703) 646-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001860VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye RX - Stone Ridge2 PLLC Optometrist CurrentSince Apr 27, 2026 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 30, 2023 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 30, 2023 Accepting new patients
Eye See Optique LLC Optometrist CurrentSince Dec 31, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Eye RX - Lansdowne PLLC Optometrist CurrentSince Apr 20, 2026 Accepting new patients
Eye RX - Stone Ridge LLC Optometrist CurrentSince Dec 31, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Oct 30, 2023 Accepting new patients
Michael J. Bermel, O.D., P.C. Optometrist PastSince May 9, 1990 Accepting new patients
Daniel Poth, O.D. and Associates, P.C. Optometrist Past Accepting new patients

Locations

24560 Southpoint Dr
Ste 170
Aldie, VA 20105
Phone (703) 646-8002

2405 Columbia Pike
Arlington, VA 22204
Phone (703) 553-1094

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

44050 Ashburn Shopping Plz
Ste 163
Ashburn, VA 20147
Phone (703) 726-0005

10338 Bristow Center Dr
Bristow, VA 20136
Phone (703) 392-1010

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

3910 Centreville Rd
Ste 100
Chantilly, VA 20151
Phone (703) 830-6380

14337 Newbrook Dr
Ste 400
Chantilly, VA 20151
Phone (571) 512-5990

15189 Montanus Dr
Culpeper, VA 22701
Phone (540) 825-8220

16830 Dumfries Rd
Dumfries, VA 22025
Phone (571) 404-0188

4203 Fairfax Corner Ave E
Fairfax, VA 22030
Phone (703) 266-8400

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

7367 Atlas Walk Way
Gainesville, VA 20155
Phone (703) 753-7200

709 Pine St
Herndon, VA 20170
Phone (703) 471-7810

13320 Franklin Farm Rd
Ste H
Herndon, VA 20171
Phone (703) 481-5600

19369 Promenade Dr
Lansdowne, VA 20176
Phone (703) 594-9221

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

251 W Lee Hwy
Ste 632
Warrenton, VA 20186
Phone (540) 428-3937

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1265660575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14729 SAINT GERMAIN DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212392",
            "telephone_number": "413-222-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 170",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053504",
            "telephone_number": "703-646-8002",
            "fax_number": "703-646-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "JENNIFER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "VA",
            "license": "0618001860",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

Verify at the official NPI Registry.