DR. ALFRED JAMES SUGAWARA O.D.
NPI 1780724823
Optometrist in Fairfield, OH

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
530 WESSEL DR, FAIRFIELD, OH 45014(513) 367-6199(513) 367-5085 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Alfred James Sugawara O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALFRED JAMES SUGAWARA O.D. (NPI 1780724823) is an individual optometrist in Fairfield, Ohio, licensed in Ohio (3584 T676) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1977).

NPPES Registry Identity

NPI1780724823
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALFRED JAMES SUGAWARACredential: O.D.
Location Address530 WESSEL DRFairfield, OH 45014-3650
Mailing Address8389 Cottonwood DrCincinnati, OH 45231-5926 · (513) 931-6481 · Fax (513) 367-5085
Fax(513) 367-5085
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1977
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780724823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 3584 T676
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
530 WESSEL DR, Fairfield, OH 45014

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alfred James Sugawara O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991029464
PECOS Enrollment IDI20150112001315
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alfred Sugawara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optometrist
8629 N PAVILLION
West Chester, OH 45069
  • Reassigned Medicare billing, Ohio and Kentucky enrollments
  • Also billed through NPI 1073917597 (Kentucky)
  • 114 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
26 services26 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hearing Instrument Specialist
530 WESSEL DR, SUITE E
FAIRFIELD, OH 45014
Eyewear Supplier
530 WESSEL DR
FAIRFIELD, OH 45014
Optometrist
530 WESSEL DR
FAIRFIELD, OH 45014
Hearing Instrument Specialist
530 WESSEL DR
FAIRFIELD, OH 45014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfred Sugawara's NPI number?

The NPI number for Alfred Sugawara is 1780724823. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Alfred Sugawara located?

Alfred Sugawara practices at 530 Wessel Dr, Fairfield, OH 45014. The listed phone number is (513) 367-6199.

What is Alfred Sugawara's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Alfred Sugawara enrolled in Medicare?

Yes. Alfred Sugawara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alfred Sugawara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfred Sugawara reassigns Medicare benefits to Clarkson Optometry Midwest Inc (West Chester, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alfred Sugawara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfred Sugawara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 14 other insurers list Alfred Sugawara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alfred Sugawara was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.