Individual provider Active NPI

Sonja Makitan, OD

  • Optometrist
  • King, NC
National Provider Identifier
1306605324
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2788 Issued in NC
Practice address
120 Village Way
King, NC 27021-8445
Phone
(336) 296-0012
Fax
(336) 642-5661
NPI assigned
Mar 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2788 NC Primary

Addresses

Primary practice location

120 Village Way
King, NC 27021-8445

Mailing address

120 Village Way
King, NC 27021-2349
Phone (336) 296-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240502002173 NC Practitioner - Optometry 8325488745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Eye Care OD PLLCGroup PAC ID 9234569856, 3 clinicians

Practice addresses (Care Compare)

141 Spruce Pine Way
Suite C
King, NC 27021-8445
Phone (336) 296-0012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Eye Care, O.D. PLLC Optometrist CurrentSince Apr 8, 2024 Accepting new patients

Locations

141 Spruce Pine Way
Ste C
King, NC 27021
Phone (336) 296-0012

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1306605324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VILLAGE WAY",
            "city": "KING",
            "state": "NC",
            "postal_code": "270212349",
            "telephone_number": "336-296-0012",
            "fax_number": "336-642-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VILLAGE WAY",
            "city": "KING",
            "state": "NC",
            "postal_code": "270218445",
            "telephone_number": "336-296-0012",
            "fax_number": "336-642-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKITAN",
        "first_name": "SONJA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King, NC

Sources for this page

Verify at the official NPI Registry.