Active NPI
Alfred James Sugawara, O.D.
- Optometrist
- Fairfield, OH
National Provider Identifier
1780724823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3584 T676
- Practice address
- 530 Wessel Dr
Fairfield, OH 45014-3650 - Phone
- (513) 367-6199
- Fax
- (513) 367-5085
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- 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 | 3584 T676 | OH | Primary |
Addresses
Primary practice location
530 Wessel Dr
Fairfield, OH 45014-3650
Mailing address
8389 Cottonwood Dr
Cincinnati, OH 45231-5926
Phone (513) 931-6481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10539 Harrison Ave
Harrison, OH 45030-1943
Phone (513) 367-6199
1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3584 T676 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory J Kuley and Assoc | Optometrist | Past | Accepting new patients |
| 20-20 Eyecare PSC | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- alfredsugawara@direct.eyecare-partners.com
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.
-
- Optometrist
- Cincinnati, OH
- NPI 1144401118
-
- Optometrist
- Louisville, KY
- NPI 1710924949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780724823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8389 COTTONWOOD DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452315926",
"telephone_number": "513-931-6481",
"fax_number": "513-367-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 WESSEL DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450143650",
"telephone_number": "513-367-6199",
"fax_number": "513-367-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGAWARA",
"first_name": "ALFRED",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3584 T676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
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.