Sugiyama, Dennis T.

Sugiyama, Dennis T. is an individual health care provider with primary practice located at 1915 W Glenoaks Blvd Suite 101, Glendale CA 91201-1541. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sugiyama, Dennis T. can be contacted via phone (818) 848-4939.

Contact Information

Primary practice address
1915 W Glenoaks Blvd Suite 101 Glendale CA 91201-1541
Phone: (818) 848-4939
Fax: (818) 848-6884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 9808 TPL California

Profile Details

NPI number 1134178155
LBN Legal business name Sugiyama, Dennis T.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134178155 NPPES
California MEDICAID SD0098080

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