Individual provider Active NPI

Lisa L. Sun, MD

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1326467515
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
234091 Issued in NC
Practice address
1002 N Church St
Greensboro, NC 27401-1439
Phone
(336) 854-4441
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 234091 NC Primary

Addresses

Primary practice location

1002 N Church St
Greensboro, NC 27401-1439

Mailing address

1002 N Church St
Ste 103
Greensboro, NC 27401-1447
Phone (336) 854-4441

Other practice location 1

1219 Lexington Ave Ste C
Thomasville, NC 27360-2784
Phone (336) 854-4441

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710000720 NC Practitioner - Ophthalmology 8628374378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Eye Surgical and Laser PLLCGroup PAC ID 0345301115, 3 clinicians

Practice addresses (Care Compare)

1002 N Church St
Suite 103
Greensboro, NC 27401-1447
Phone (336) 854-4441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.33 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234091NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Eye Surgical and Laser PLLC Single Specialty CurrentSince Jun 30, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1002 N Church St
Ste 103
Greensboro, NC 27401
Phone (336) 272-6133

1219 Lexington Ave
Ste C
Thomasville, NC 27360
Phone (336) 475-5337

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1326467515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "address_2": "STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011447",
            "telephone_number": "336-854-4441",
            "fax_number": "336-854-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011439",
            "telephone_number": "336-854-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Lexington Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273602784",
            "country_code": "US",
            "telephone_number": "336-854-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUN",
        "first_name": "LISA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "234091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.