Jean Sugimoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

33478 Issued in CA

Practice address

7629 Melrose Ave
Los Angeles, CA 90046-7419

Phone

(323) 401-0661

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Sugimoto OD Professional Corporation

  • Optometrist
  • Los Angeles, CA
  • NPI 1588403182
  NPD Authorized official

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1487006136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467419",
            "telephone_number": "323-401-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 MELROSE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467419",
            "telephone_number": "323-401-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIMOTO",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shihab Hamad Sugeir, MD
• Noah Sugerman, M.D.
• Mia Sugi, DPT
• Michelle Tiffani Sugi, M.D.
• Yoko Sugihara, PH.D.
• Yuki Sugisaki
• Tsuki Sugiyama, PHARM D.
• Alexa Elizabeth Saraspi Suguitan, PHYSICIAN ASSISTANT
• Suh and Jung Myobalance, Inc.
• Benedict Y Suh, PA

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.