Individual provider Active NPI

Isaiah Jacinto Fuson, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1568203354
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35736 Issued in CA
Practice address
7355 N Palm Ave Ste 109
Fresno, CA 93711-5770
Phone
(559) 225-2020
Fax
(559) 227-6411
NPI assigned
Jun 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35736 CA Primary

Addresses

Primary practice location

7355 N Palm Ave Ste 109
Fresno, CA 93711-5770

Mailing address

7355 N Palm Ave Ste 109
Fresno, CA 93711-5770
Phone (559) 225-2020

Other practice location 1

20 W Shaw Ave
Fresno, CA 93704-2816
Phone (559) 222-0220

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251210002690 CA Practitioner - Optometry 2668966383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7355 N Palm Ave
Suite 109
Fresno, CA 93711-5770
Phone (559) 225-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35736CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Optometry Associates, Inc. Optometrist CurrentSince Oct 31, 2025 Accepting new patients
Isaiah Fuson Optometry Corporation Optometrist CurrentSince Oct 31, 2025 Accepting new patients

Locations

7355 N Palm Ave
Ste 109
Fresno, CA 93711
Phone (209) 222-7622

7355 N Palm Ave
Fresno, CA 93711
Phone (559) 225-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1568203354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 N PALM AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115770",
            "telephone_number": "559-225-2020",
            "fax_number": "559-227-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N PALM AVE STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115770",
            "telephone_number": "559-225-2020",
            "fax_number": "559-227-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 W Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937042816",
            "country_code": "US",
            "telephone_number": "559-222-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSON",
        "first_name": "ISAIAH",
        "middle_name": "JACINTO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.