DR. JOHNNY SUN (OD) – Optometrist, NPI 1164917621

DR. JOHNNY SUN (OD) is a healthcare provider. based in New haven, Connecticut. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3997 (MN). The NPI Number for DR. JOHNNY SUN (OD) is 1164917621

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNNY SUN (OD)
NPI
1164917621
Phone
(203) 503-3230
Address
400 COLUMBUS AVE FL 2
Enumeration Date
27 June 2018
Last Update Date
1 April 2026

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
2035033228
Graduation Year
2018 (8 years ago)
PAC ID
4789933284
Group Practice PAC ID
3072418359
Professional Enrollment ID
I20180816001334
Address ID
CT065191233NE428XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

Provider Addresses for DR. JOHNNY SUN (OD)

  • 400 COLUMBUS AVE FL 2

    NEW HAVEN, CT 065191233

    Phone: (203) 503-3230

    Type: Mailing

  • 799, New Haven Road, Naugatuck, New Haven County, Connecticut, 06770, United States

    NAUGATUCK, CT 067704762

    Phone: (203) 729-2226

    Type: Mailing

  • 925, White Plains Road, Trumbull, Fairfield County, Connecticut, 06611, United States

    TRUMBULL, CT 066114583

    Phone: (203) 261-2619

    Type: Location

  • 893 N COLONY RD UNIT C

    WALLINGFORD, CT 064922499

    Phone: (203) 303-2390

    Type: Mailing

  • 8362 TAMARACK VLG STE 108

    WOODBURY, MN 551253392

    Phone: (651) 730-9662

    Type: Location

  • 1278 TOWN CENTRE DR STE 155

    EAGAN, MN 551236404

    Phone: (612) 851-0208

    Fax: (651) 686-2940

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180816001334IOptometryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06519)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072418359View full group profile
NameSpecialtyState
-CT
U R O L O G YCT
-CT
Clinical Social WorkerCT
-CT
-CT
Nurse PractitionerCT
Physician AssistantCT
Nurse PractitionerCT
Registered Dietitian Or Nutrition ProfessionalCT

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JOHNNY SUN (OD)'s NPI?
Yes. DR. JOHNNY SUN (OD) is listed with NPI 1164917621 in the public NPI dataset.
Does CMS list DR. JOHNNY SUN (OD) as active?
Yes — DR. JOHNNY SUN (OD) is active in the NPI listing used on this page.
What is DR. JOHNNY SUN (OD) best known for clinically?
Directory data describes DR. JOHNNY SUN (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JOHNNY SUN (OD) on a map?
Expect New Haven, Connecticut as a primary anchor for DR. JOHNNY SUN (OD) unless the record lists multiple sites.
Is the information about DR. JOHNNY SUN (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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