Eyes on Lake Norman Optometry, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2214 Issued in NC

Legal business name

EYES ON LAKE NORMAN OPTOMETRY, PA

Practice address

136 Corporate Park Dr Ste H
Mooresville, NC 28117-6960

Phone

(704) 696-8370

Fax

(704) 696-8371

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Jonathan Aaron SugarmanNPI 1407164445

Title

OD/President

Phone

(704) 696-8370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan Aaron Sugarman, O.D.

  • Optometrist
  • Mooresville, NC
  • NPI 1407164445
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1962842807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CORPORATE PARK DR STE H",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176960",
            "telephone_number": "704-696-8370",
            "fax_number": "704-696-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CORPORATE PARK DR STE H",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176960",
            "telephone_number": "704-696-8370",
            "fax_number": "704-696-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON LAKE NORMAN OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "SUGARMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OD/PRESIDENT",
        "authorized_official_telephone_number": "704-696-8370"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.