Ikuko Sugimoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

FNP 3257 Issued in CA

Practice address

2829 Pacific Coast Hwy
Torrance, CA 90505-6701

Phone

(310) 530-2829

NPI assigned

Mar 6, 2007

Last updated

Nov 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• I Vision Optometry, Inc

  • Optometrist
  • Torrance, CA
  • NPI 1548515661
  Authorized official Same address or phone

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1841320918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056701",
            "telephone_number": "310-530-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056701",
            "telephone_number": "310-530-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIMOTO",
        "first_name": "IKUKO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10387 TPL",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "FNP 3257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Sue, M.D.
• Jordan Alexander Sugarman, MD
• Sugimori Dental Corporation
• Lisa Sugimori, DDS
• Toshifumi Sugimori, D.D.S.
• Konosuke Sugiura, L.AC.
• Meari Sugiyama
• Nami Sugiyama, L.A.C
• Betty Suh, D.M.D.
• Christina Marie Sullivan, MBA, MFT

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.