Sop Song, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000574 Issued in VA

Practice address

7700 Little River Tpke Ste 101
Annandale, VA 22003-2406

Phone

(703) 658-7070

Fax

(703) 658-7071

NPI assigned

Feb 21, 2007

Last updated

Oct 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sop Song, OD PCGroup PAC ID 8123185923, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sop Song, OD PC

  dba Galleria Optical

  • Optometrist
  • Annandale, VA
  • NPI 1164676490

  DC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1801931381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-658-7070",
            "fax_number": "703-658-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-658-7070",
            "fax_number": "703-658-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "SOP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000574",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-3335-1",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra E. Sohns, CFNP
• Makar Adel Soliman, DPT
• Jackson Son
• Minkyeong Son, DPT
• Han D Song
• Lena Soni
• Pooja Soni
• Sop Song, OD PC (Galleria Optical)
• Jessica Ruth Sorano, DPT
• South Baylo Clinic (South Baylo University VA Clinic)

• Optometrist in Annandale, VA
• Providers in Annandale, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.

Verify at the official NPI Registry.