DR. SUN AE MA OD NPI 1750375622

NPI Information

  • NPI: 1750375622
  • Provider Name: DR. SUN AE MA, OD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5901 DEMPSTER ST
    SUITE 101
    MORTON GROVE, IL
    ZIP 60053
  • Phone: (847) 470-1115

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NPI Details

DR. Sun Ae Ma, OD is an optometrist in Morton Grove, IL with 39 years of experience. The provider is 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. DR. Sun Ae Ma, OD NPI is 1750375622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:1987

The provider's business location address is:

5901 DEMPSTER ST
SUITE 101
MORTON GROVE, IL
ZIP 60053-014
Phone: (847) 470-1115
Fax: (847) 470-1141

The NPI 1750375622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • New patient complete exam of visual system (HCPCS:92004)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 9/7/2005 and was last updated on 9/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist046-008065ILLINOISNo
2152WC0802XOptometristCorneal and Contact Management046-008065ILLINOISNo
3152W00000XOptometrist046008065ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T36466MEDICARE UPIN
2P15656MEDICARE PINILLINOIS
3K44866MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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