Active NPI
Joy Naomi Sugimura, O.D.
- Optometrist
- Oakland, CA
National Provider Identifier
1659397123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6567T
- Practice address
- 4325 Piedmont Ave
Oakland, CA 94611-4715 - Phone
- (510) 547-5525
- Fax
- (510) 547-3787
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6567T | CA | Primary |
Addresses
Primary practice location
4325 Piedmont Ave
Oakland, CA 94611-4715
Mailing address
4325 Piedmont Ave
Oakland, CA 94611-4715
Phone (510) 547-5525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100723000520 | CA | Practitioner - Optometry | 7416089602 | Practice locations: Oakland, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4325 Piedmont Ave
Oakland, CA 94611-4715
Phone (510) 547-5525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6567 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659397123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 PIEDMONT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114715",
"telephone_number": "510-547-5525",
"fax_number": "510-547-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 PIEDMONT AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114715",
"telephone_number": "510-547-5525",
"fax_number": "510-547-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGIMURA",
"first_name": "JOY",
"middle_name": "NAOMI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6567T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.