Active NPI
Ronald K Sugiyama, MD
- Ophthalmology Physician
- Olympia, WA
National Provider Identifier
1376650267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00024303
- Practice address
- 5149 Illahee LN NE
Olympia, WA 98516-6005 - Phone
- (360) 970-8797
- NPI assigned
- Aug 24, 2006
- Last updated
- Mar 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00024303 | WA | Primary |
Addresses
Primary practice location
5149 Illahee LN NE
Olympia, WA 98516-6005
Mailing address
1401 Marvin Rd NE Ste 307
Lacey, WA 98516-5710
Phone (360) 970-8797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00024303 | WA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1376650267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 MARVIN RD NE STE 307",
"city": "LACEY",
"state": "WA",
"postal_code": "985165710",
"telephone_number": "360-970-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5149 ILLAHEE LN NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985166005",
"telephone_number": "360-970-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGIYAMA",
"first_name": "RONALD",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00024303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.