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DR. JOHNNY SUN OD
NPI 1164917621
Optometrist in Eagan, MN

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
1278 TOWN CENTRE DR STE 155, EAGAN, MN 55123(612) 851-0208(651) 686-2940 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Jan 8, 2026, Apr 6, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Johnny Sun Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNNY SUN OD (NPI 1164917621) is an individual optometrist in Eagan, Minnesota, licensed in Minnesota (3997) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2018).

NPPES Registry Identity

NPI1164917621
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHNNY SUNCredential: OD
Location Address1278 TOWN CENTRE DR STE 155Eagan, MN 55123-6404
Mailing Address1278 Town Centre Dr Ste 155Eagan, MN 55123-6404 · (612) 851-0208 · Fax (651) 686-2940
Phone(612) 851-0208
Fax(651) 686-2940
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2018
Enumeration DateJune 27, 2018
Last NPPES UpdateApril 1, 20265 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1164917621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 3997
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1278 TOWN CENTRE DR STE 155, Eagan, MN 55123
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Johnny Sun Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789933284
PECOS Enrollment IDI20180816001334
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONAL VISION INC
Optometrist
1278 TOWN CENTRE DR STE 155
EAGAN, MN 55123
Dakota County (612) 851-0208
DR. BINH THANH DANG OD
Optometrist
1278 TOWN CENTRE DR STE 155
EAGAN, MN 55123
Dakota County (612) 851-0208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Sun's NPI number?

The NPI number for Johnny Sun is 1164917621. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Johnny Sun located?

Johnny Sun practices at 1278 Town Centre Dr Ste 155, Eagan, MN 55123. The listed phone number is (612) 851-0208.

What is Johnny Sun's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Johnny Sun enrolled in Medicare?

Yes. Johnny Sun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Johnny Sun was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.