Physician Compare National (NPI:1902288202)

HEALTHCARE PROVIDER: NOELLE SUN OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902288202
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012203136
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160915001063
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUN
	Individual professional last name
Provider First Name	NOELLE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW ENGLAND COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	MILES AND TISCH EYECARE ASSOCIATES LTD
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2668361635
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	244 W 54TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 402
	Group Practice or individual's line 2 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	100195597
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2127652660
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y