Individual provider Active NPI

Jonathan Aaron Sugarman, O.D.

  • Optometrist
  • Mooresville, NC
National Provider Identifier
1407164445
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2214 Issued in NC
Practice address
136 Corporate Park Dr Ste H
Mooresville, NC 28117-6960
Phone
(704) 696-8370
Fax
(704) 696-8371
NPI assigned
Sep 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2214 NC Primary

Addresses

Primary practice location

136 Corporate Park Dr Ste H
Mooresville, NC 28117-6960

Mailing address

136 Corporate Park Dr Ste H
Mooresville, NC 28117-6960
Phone (704) 696-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000407 NC Practitioner - Optometry 4981885779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

134 Mooresville Commons Way
Suite D
Mooresville, NC 28117-8953
Phone (704) 696-8370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2214NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Lake Norman Optometry, PA Optometrist CurrentSince Oct 10, 2013 Accepting new patients
University Eye Associates OD, PA Optometrist Past Accepting new patients
University Eye Associates, OD PA Optometrist Past Accepting new patients

Locations

136 Corporate Park Dr
Ste H
Mooresville, NC 28117
Phone (704) 660-9780

134 Mooresville Commons Way
Ste D
Mooresville, NC 28117
Phone (215) 704-1730

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1407164445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CORPORATE PARK DR STE H",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176960",
            "telephone_number": "704-696-8370",
            "fax_number": "704-696-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CORPORATE PARK DR STE H",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176960",
            "telephone_number": "704-696-8370",
            "fax_number": "704-696-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "JONATHAN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.