Individual provider Active NPI

Michelle Ginah Son, O.D.

  • Optometrist
  • Durham, NC
National Provider Identifier
1609177120
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC2217 Issued in NC
Practice address
4037 Durham-Chapel Hill Blvd.
Durham, NC 27707-2516
Phone
(919) 246-9545
Fax
(919) 246-9545
NPI assigned
Nov 15, 2010
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 NC2217 NC Primary

Addresses

Primary practice location

4037 Durham-Chapel Hill Blvd.
Durham, NC 27707-2516

Mailing address

116 Edward Booth LN.
Durham, NC 27713-9675
Phone (714) 403-0125

Other names 1

  • Mrs. Michelle Ginah Yun Professional name

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
NC2217NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarus Optometry OD, PLLC Optometrist Past Accepting new patients
Optometric Eye Site PLLC Optometrist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1609177120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EDWARD BOOTH LN.",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139675",
            "telephone_number": "714-403-0125",
            "fax_number": "919-246-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 DURHAM-CHAPEL HILL BLVD.",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072516",
            "telephone_number": "919-246-9545",
            "fax_number": "919-246-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "MICHELLE",
        "middle_name": "GINAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC2217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "YUN",
            "middle_name": "GINAH",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.