Individual provider Active NPI

Lirong Sun

  • Optometrist
  • Lexington, KY
National Provider Identifier
1841911294
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2285DT Issued in KY
Practice address
2250 Leestown Rd
Lexington, KY 40511-1052
Phone
(859) 233-4511
NPI assigned
Sep 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2285DT KY Primary

Addresses

Primary practice location

2250 Leestown Rd
Lexington, KY 40511-1052

Mailing address

2151 Meeting St Apt 7107
Lexington, KY 40509-4651
Phone (248) 688-1380

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lirong.sun@va.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240221000788 WA Practitioner - Optometry 9931543667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G Kaur OD PLLCGroup PAC ID 9638512940, 3 clinicians

Practice addresses (Care Compare)

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391-7147
Phone (253) 793-1588

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2285DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
G Kaur, OD, PLLC Optometrist CurrentSince Dec 20, 2023 Accepting new patients

Locations

18321 Veterans Memorial Dr E
Bonney Lake, WA 98391
Phone (253) 400-2128

20069 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 227-5478

Organizations & group practices 1

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1841911294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 MEETING ST APT 7107",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094651",
            "telephone_number": "248-688-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111052",
            "telephone_number": "859-233-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "LIRONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2285DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lirong.sun@va.gov",
            "affiliation": "N",
            "address_1": "2250 Leestown Rd",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405111052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.