Provider Demographics
NPI:1700779360
Name:SUNIL, NIJA (OD)
Entity type:Individual
Prefix:DR
First Name:NIJA
Middle Name:
Last Name:SUNIL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6148
Mailing Address - Country:US
Mailing Address - Phone:919-847-0051
Mailing Address - Fax:919-307-8994
Practice Address - Street 1:101 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6148
Practice Address - Country:US
Practice Address - Phone:919-847-0051
Practice Address - Fax:919-307-8994
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2896152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty