Provider Demographics
NPI:1780724823
Name:SUGAWARA, ALFRED JAMES (OD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:JAMES
Last Name:SUGAWARA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8389 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5926
Mailing Address - Country:US
Mailing Address - Phone:513-931-6481
Mailing Address - Fax:513-367-5085
Practice Address - Street 1:530 WESSEL DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-3650
Practice Address - Country:US
Practice Address - Phone:513-367-6199
Practice Address - Fax:513-367-5085
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH3584 T676152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist