Clifford a Fukushima OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6441T Issued in CA

Legal business name

CLIFFORD A FUKUSHIMA OD INC

Doing business as

Integrated Vision Care Optometry

Practice address

5501 W Hillsdale Ave
Ste D
Visalia, CA 93291-5159

Phone

(559) 625-5464

Fax

(559) 625-0714

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Aiko Fukushima, OD

Title

Owner

Phone

(559) 625-5464

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Integrated Vision Care Optometry Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1336135888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W HILLSDALE AVE",
            "address_2": "STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915159",
            "telephone_number": "559-625-5464",
            "fax_number": "559-625-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W HILLSDALE AVE",
            "address_2": "STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915159",
            "telephone_number": "559-625-5464",
            "fax_number": "559-625-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD A FUKUSHIMA OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "FUKUSHIMA",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "AIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-625-5464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6441T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00083170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0064410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Vision Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Clark, DDS
• Taralyn Clausen, FNP
• Jessica Clavijo
• Kelly C Cleaver, ATC
• Pamela L. Cliburn, LVN
• Rose Clifford
• Megan Christine Clifton
• Judy Ellen Clounch-Miyakawa, FNP/PA
• Theresa Zenner Clouse, RDHAP
• Landon Jason Clow

• Optometrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.