DR. EPIFANIO I SUNGA OD
NPI 1457362055
Optometrist in Toms River, NJ

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
1278 HOOPER AVE, TOMS RIVER, NJ 08753(732) 505-0533(732) 505-6572 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Epifanio I Sunga Od NPPES

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

DR. EPIFANIO I SUNGA OD (NPI 1457362055) is an individual optometrist in Toms River, New Jersey, licensed in New Jersey (27OA00604000) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2006).

NPPES Registry Identity

NPI1457362055
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. EPIFANIO I SUNGACredential: OD
Location Address1278 HOOPER AVEToms River, NJ 08753-3324
Mailing Address275 Route 22 EastSpringfield, NJ 07081 · (973) 376-8900 · Fax (973) 912-9846
Fax(732) 505-6572
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2006
Enumeration DateAugust 10, 2006
Last NPPES UpdateNovember 15, 2007
NPI 1457362055 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 NJ · 27OA00604000
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 HOOPER AVE, Toms River, NJ 08753

Other Identifiers 3

Other27TO00141900NJ · Tpa
Other27OA00604000NJ · License
Medicare PIN104007NJ

Accepted Insurance

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. Epifanio I Sunga 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 ID8426055468
PECOS Enrollment IDI20061103000341
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
301 services203 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
263 services239 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
46 services44 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
43 services43 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
43 services41 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
26 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 4

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

Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Durable Medical Equipment & Medical Supplies
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753
Optometrist
1278 HOOPER AVE
TOMS RIVER, NJ 08753

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 Epifanio Sunga's NPI number?

The NPI number for Epifanio Sunga is 1457362055. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Epifanio Sunga located?

Epifanio Sunga practices at 1278 Hooper Ave, Toms River, NJ 08753. The listed phone number is (732) 505-0533.

What is Epifanio Sunga's specialty?

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

Is Epifanio Sunga enrolled in Medicare?

Yes. Epifanio Sunga 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.

What insurance does Epifanio Sunga accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Epifanio Sunga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Epifanio Sunga was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.