MRS. PATRICIA GRACE FUKUZATO (NPI# 1447388905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447388905 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA GRACE FUKUZATO |
| Other Name | PATRICIA GRACE BONOMOLO |
| Credential | O.D. |
| Practice Address |
3670 Hutchinson Rd Ste A Cumming GA 30040-5903 |
| Practice Telephone | 6788077482 |
| Practice Fax Number | 6788077243 |
| Mailing Telephone | 6788077482 |
| Mailing Fax Number | 6788077243 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002423 | GA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 006834TUV | NY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 12940T | CA | Eye and Vision Services Providers |
| Street Address |
3670 HUTCHINSON RD STE A |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037192 | National Vision Inc | Optometrist | 3655 Browns Bridge Rd Ste 700, Cumming, GA 30028-4134 | 2020-03-09 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| 1760804538 | Anthony G Guerrero | Optometrist | 1500 Market Place Blvd., Cumming, GA 30041 | 2014-01-14 |
| 1174950042 | John C Snyder Od LLC | Optometrist | 3390 Summit Trl, Cumming, GA 30041-6692 | 2013-10-08 |
| 1114353232 | Derek Alan Black | Optometrist | 1211 Bald Ridge Marina Rd, Cumming, GA 30041-8484 | 2013-09-20 |
| 1033541735 | Kimberley A Linert, Inc | Optometrist | 525 Tribble Gap Rd, #1305, Cumming, GA 30028-2937 | 2013-08-05 |
| 1083053318 | Erica Lynne Bridges | Optometrist | 1034 Haw Creek Circle, Suite 100, Cumming, GA 30041-6513 | 2013-06-20 |
| 1992947717 | For Your Eyes Only-eye Care Inc | Optometrist | 5851 S Vickery, Cumming, GA 30040-8793 | 2009-03-25 |
| 1295995835 | Gs Eyecare | Optometrist | 184 Tri County Plz, Cumming, GA 30040-2729 | 2008-06-16 |
| 1205057437 | Eye Q Vision Care | Optometrist | 546 Lakeland Plaza, Cumming, GA 30040-2782 | 2007-05-02 |
| Find all providers in CUMMING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.