DR. NIJA SUNIL OD
NPI 1700779360
Optometrist in Raleigh, NC

Q: What is Nija Sunil's NPI number?

The NPI number for Nija Sunil is 1700779360. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Q: What is Nija Sunil's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nija Sunil was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment

101 SAWMILL RD, RALEIGH, NC 27615(919) 847-0051(919) 307-8994 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Jun 2, 2025 (2 updates tracked since 2025).

On this page

About Dr. Nija Sunil Od NPPES

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

DR. NIJA SUNIL OD (NPI 1700779360) is an individual optometrist in Raleigh, North Carolina, licensed in North Carolina (2896) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1700779360

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. NIJA SUNILCredential: OD

Location Address101 SAWMILL RDRaleigh, NC 27615-6148

Mailing Address101 Sawmill RdRaleigh, NC 27615-6148 · (919) 847-0051 · Fax (919) 307-8994

Phone(919) 847-0051

Fax(919) 307-8994

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 2, 2025

Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1700779360 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 NC · 2896

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.

101 SAWMILL RD, Raleigh, NC 27615

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nija Sunil 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 ID3375035629

PECOS Enrollment IDI20251124002711

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.

Medicare Billing Reassignment

Medicare enrollment records show Nija Sunil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clark Optometric Center PA

14 mi

Optometrist

2216 NC E HWY 54
Durham, NC 27713

Reassigned Medicare billing, North Carolina enrollment
64 clinicians in this Medicare group

NPI 1588619217 (919) 544-2020

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 27615 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

COURTNEY GREGG OD

Optometrist

101 SAWMILL RD
RALEIGH, NC 27615

Wake County (919) 847-0051

DR. PAUL GREGORY FORSYTH O.D.

Optometrist

101 SAWMILL RD
RALEIGH, NC 27615

Wake County (919) 847-0051

DR. DOYLE S BEDSOLE O.D.

Optometrist

101 SAWMILL RD
RALEIGH, NC 27615

Wake County (919) 847-0051

FORSYTH OPTOMETRIC GROUP,PA

Optometrist

101 SAWMILL RD
RALEIGH, NC 27615

Wake County (919) 847-0051

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 Nija Sunil's NPI number?

The NPI number for Nija Sunil is 1700779360. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Nija Sunil located?

Nija Sunil practices at 101 Sawmill Rd, Raleigh, NC 27615. The listed phone number is (919) 847-0051.

What is Nija Sunil's specialty?

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

Is Nija Sunil enrolled in Medicare?

Yes. Nija Sunil 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.

Which organization bills Medicare for Nija Sunil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nija Sunil reassigns Medicare benefits to Clark Optometric Center PA (Durham, NC). The 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 Nija Sunil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nija Sunil accept?

Health plans from Cigna Healthcare, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 5 other insurers list Nija Sunil 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 Nija Sunil was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.