Individual provider Active NPI

Stacy Michelle Sonik, O.D.

  • Optometrist
  • Bellaire, TX
National Provider Identifier
1477585255
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05278TG Issued in TX
Practice address
4710 Bellaire Blvd
Suite 160
Bellaire, TX 77401-4526
Phone
(713) 553-5163
Fax
(713) 664-9633
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05278TG TX Primary

Addresses

Primary practice location

4710 Bellaire Blvd
Suite 160
Bellaire, TX 77401-4526

Mailing address

106 Whipple Dr
Bellaire, TX 77401-5339
Phone (713) 553-5163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05278TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Vision PLLC CurrentSince Jul 2, 2023 Accepting new patients
Neurosensory Center of Bellaire PA Optometrist Past Accepting new patients
Bellaire Family Eye Care PA Optometrist Past Accepting new patients

Locations

4710 Bellaire Blvd
Ste 160
Bellaire, TX 77401
Phone (713) 553-5163

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1477585255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WHIPPLE DR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774015339",
            "telephone_number": "713-553-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD",
            "address_2": "SUITE 160",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014526",
            "telephone_number": "713-553-5163",
            "fax_number": "713-664-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONIK",
        "first_name": "STACY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05278TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.