DR. COREELIZA J SUN OD
NPI 1568957678
Optometrist in Lake Forest, CA
About Dr. Coreeliza J Sun Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. COREELIZA J SUN OD (NPI 1568957678) is an individual optometrist in Lake Forest, California, licensed in California (33950TLG) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sherman Oaks.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Coreeliza J Sun Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Coreeliza Sun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Forest, CA 92630
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Hansra Optometric Corporation
- 34 clinicians in this Medicare group
San Dimas, CA 91773
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Coreeliza Sun's NPI number?
The NPI number for Coreeliza Sun is 1568957678. It was assigned to this individual provider in the NPPES registry on June 30, 2018.
Where is Coreeliza Sun located?
Coreeliza Sun practices at 23625 El Toro Rd Ste E, Lake Forest, CA 92630. The listed phone number is (949) 227-2524.
What is Coreeliza Sun's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Coreeliza Sun enrolled in Medicare?
Yes. Coreeliza Sun is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Coreeliza Sun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Coreeliza Sun reassigns Medicare benefits to 2 organizations: Tedder Optometric Corporation, PC (Lake Forest, CA) and Tedder Optometry Group, PC (San Dimas, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Coreeliza Sun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Coreeliza Sun accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Coreeliza Sun 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 Coreeliza Sun was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Coreeliza J Sun, OD · NPI 1568957678
Optometrist provider in Lake Forest, California. Individual provider, active in the CMS NPPES registry since June 30, 2018.
## Identity
- **NPI:** 1568957678 (Entity type: Individual)
- **Enumerated:** June 30, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 33950TLG (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 23625 EL TORO RD STE E, Lake Forest, CA 92630-4728
- **Phone:** (949) 227-2524
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tedder Optometric Corporation, PC (NPI 1679262158, Lake Forest, CA); Tedder Optometry Group, PC (NPI 1184484222, San Dimas, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1568957678) · Data from the CMS NPPES public registry.