Mark Alan Fujikawa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5524T Issued in CA

Practice address

2414 Shattuck Ave
Berkeley, CA 94704-2023

Phone

(510) 843-1228

Fax

(510) 843-2080

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of California - School of Optometry, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark a Fujikawa and Stephen R Chun PTRGroup PAC ID 8921035122, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark a Fujikawa & Stephen R Chun PTR

  • Optometrist
  • Berkeley, CA
  • NPI 1639394166
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366507352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042023",
            "telephone_number": "510-843-1228",
            "fax_number": "510-843-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042023",
            "telephone_number": "510-843-1228",
            "fax_number": "510-843-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIKAWA",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5524T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0055240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willetta M Frizzle
• Sebastien Charles Fromont, MD
• Richard R Fuentes
• Diana Fuery, PHD
• Kyb Fugfugosh
• Eli Fujita
• Natashia Wanda Fuksman
• Harriet Fukushima, RN
• Gretchen Santos Fulgencio, RN, NP
• Carleen Fuller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.