Individual provider Active NPI

Joanna Michiko Sugimoto, OD

  • Optometrist
  • Lafayette, CA
National Provider Identifier
1881581908
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36019 Issued in CA
Practice address
958 Moraga Rd
Lafayette, CA 94549-4525
Phone
(925) 283-3821
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36019 CA Primary

Addresses

Primary practice location

958 Moraga Rd
Lafayette, CA 94549-4525

Mailing address

2542 Duncan Rd
Pinole, CA 94564-2221
Phone (510) 833-0426

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729004455 CA Practitioner - Optometry 9830606359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank G Zheng OD IncGroup PAC ID 7113213331, 7 clinicians

Practice addresses (Care Compare)

958 Moraga Rd
Lafayette, CA 94549-4525
Phone (925) 283-3821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36019CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet C Chan, OD Inc Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Frank G Zheng O.D. Inc Optometrist CurrentSince Aug 1, 2025 Accepting new patients

Locations

500 Alfred Nobel Dr
Ste 138
Hercules, CA 94547
Phone (510) 724-1000

958 Moraga Rd
Lafayette, CA 94549
Phone (925) 283-3821

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1881581908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 DUNCAN RD",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642221",
            "telephone_number": "510-833-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 MORAGA RD",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494525",
            "telephone_number": "925-283-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIMOTO",
        "first_name": "JOANNA",
        "middle_name": "MICHIKO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.