Active NPI
David Phillip Sonnenburg, O.D.
- Optometrist
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003642
- Practice address
- 230 E Day Rd Ste 100
Mishawaka, IN 46545-3408 - Phone
- (574) 271-3939
- Fax
- (574) 271-3941
- NPI assigned
- Aug 10, 2010
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010413 | IL | |
| Optometrist | 152W00000X | 18003642 | IN | Primary |
Addresses
Primary practice location
230 E Day Rd Ste 100
Mishawaka, IN 46545-3408
Mailing address
230 E Day Rd
Ste 100
Mishawaka, IN 46545-3408
Phone (574) 271-3939
Other practice location 1
320 Meadow Ln
Plymouth, IN 46563-9394
Phone (574) 935-4480
Other practice location 2
2216 Cassopolis St
Elkhart, IN 46514-5133
Phone (574) 266-2111
Other practice location 3
319 N Niles Ave Ste 100
South Bend, IN 46617-2328
Phone (574) 282-2020
Other practice location 4
1747 Stafford Ct
Goshen, IN 46526-6542
Phone (574) 533-0100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201113290 | Medicaid | IN | |
| P01171205 | Other | IN | MEDICARE RAILROAD |
| 2044600006 | Other | IN | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 E Day Rd
Suite 100
Mishawaka, IN 46545-3408
Phone (574) 271-3939
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 96.76
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michiana Eye Center LLC | Optometrist | Current | Accepting new patients |
| Michiana Eye Center LLC | Optometrist | Current | Accepting new patients |
| Michiana Eye Center LLC | Optometrist | Past | Accepting new patients |
| Michiana Eye Center , LLC | Optometrist | Past | Accepting new patients |
| Michiana Eye Center LLC | Optometrist | Past | Accepting new patients |
| Eyecare Indiana II, P.C. | Optometrist | Past | Accepting new patients |
Locations
2216 Cassopolis St
Elkhart, IN 46514
Phone (574) 266-2111
1747 Stafford Ct
Goshen, IN 46526
Phone (574) 533-0100
230 E Day Rd
Ste 100
Mishawaka, IN 46545
Phone (574) 271-3939
320 Meadow Ln
Plymouth, IN 46563
Phone (574) 935-4480
319 N Niles Ave
#100
South Bend, IN 46617
Phone (574) 282-2020
Interoperability endpoints
- david.sonnenburg@direct.mecfps.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760797120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E DAY RD",
"address_2": "STE 100",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453408",
"telephone_number": "574-271-3939",
"fax_number": "574-271-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E DAY RD STE 100",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453408",
"telephone_number": "574-271-3939",
"fax_number": "574-271-3941"
}
],
"practiceLocations": [
{
"address_1": "320 Meadow Ln",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "IN",
"postal_code": "465639394",
"country_code": "US",
"telephone_number": "574-935-4480",
"fax_number": "574-941-2040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2216 Cassopolis St",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465145133",
"country_code": "US",
"telephone_number": "574-266-2111",
"fax_number": "574-266-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 N Niles Ave Ste 100",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466172328",
"country_code": "US",
"telephone_number": "574-282-2020",
"fax_number": "574-288-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1747 Stafford Ct",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "IN",
"postal_code": "465266542",
"country_code": "US",
"telephone_number": "574-533-0100",
"fax_number": "574-534-8088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONNENBURG",
"first_name": "DAVID",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010413",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201113290",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01171205",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "2044600006",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.