Fukuzato Eyecare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

002423 Issued in GA

Legal business name

FUKUZATO EYECARE, INC

Practice address

3670 Hutchinson Rd Ste a&B
Cumming, GA 30040

Phone

(678) 899-2441

NPI assigned

Jun 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Fukuzato, ODNPI 1447388905

Title

Optometrist

Phone

(678) 807-7482

Specialties & licenses 1

Addresses

Other names 1

• Optic Owl Company Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Patricia Grace Fukuzato, O.D.

  • Optometrist
  • Cumming, GA
  • NPI 1447388905
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1306339841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 HUTCHINSON RD STE A&B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405902",
            "telephone_number": "678-807-7482",
            "fax_number": "678-807-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 HUTCHINSON RD STE A&B",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-899-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUKUZATO EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "FUKUZATO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "678-807-7482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optic Owl Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Wiger Frierson, OTR/L
• Woodrow Dwight Frisbee Jr., M.D.
• Heather Hawn Fry, NP-C
• Sydney Frye, BCBA
• Joseph Andrew Frysz Jr., PT
• Patricia Grace Fukuzato, O.D.
• Katherine Ann Fulco, CNP
• Fuller Life Counseling & Wellness, LLC
• Kendall Alexandra Fuller
• Hannah Funderburk

• Optometrist in Cumming, GA
• Providers in Cumming, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.