Provider Demographics
NPI:1538762992
Name:SUGGS, JASMINE MONIQUE (OD)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:MONIQUE
Last Name:SUGGS
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:7808 S TRYON ST STE D&E
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-4155
Practice Address - Country:US
Practice Address - Phone:704-522-8000
Practice Address - Fax:704-525-3554
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2651152W00000X
SC2234152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist