Dr Sugimoto OD Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR SUGIMOTO OD PROFESSIONAL CORPORATION

Practice address

7629 Melrose Ave
Los Angeles, CA 90046-7419

Phone

(323) 401-0661

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Jean SugimotoNPI 1487006136

Title

Owner/Optometrist

Phone

(310) 696-9216

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Sugimoto, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1487006136
  NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1588403182",
    "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"
        },
        {
            "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": {
        "organization_name": "DR SUGIMOTO OD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "SUGIMOTO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "310-696-9216"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 12, 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.