Dr Ricardo Fukuzato, OD | |
11720 Medlock Bridge Rd, Suite 140, Johns Creek, GA 30097-1509 | |
(770) 495-7898 | |
Not Available |
Full Name | Dr Ricardo Fukuzato |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 11720 Medlock Bridge Rd, Johns Creek, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013045368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12991T (California) | Secondary |
152W00000X | Optometrist | OPT002431 (Georgia) | Primary |
Provider Name | Mark Lynn Od And Associates Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417055203 PECOS PAC ID: 4688679269 Enrollment ID: O20061004000066 |
Provider Name | Ga Doctors Of Optometry Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174105936 PECOS PAC ID: 7719375419 Enrollment ID: O20211221000300 |
Mailing Address | Practice Location Address |
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Dr Ricardo Fukuzato, OD 11103 West Ave, San Antonio, TX 78213-1338 Ph: (812) 285-5050 | Dr Ricardo Fukuzato, OD 11720 Medlock Bridge Rd, Suite 140, Johns Creek, GA 30097-1509 Ph: (770) 495-7898 |
Grace Envision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 10475 Medlock Bridge Rd Ste 104, Johns Creek, GA 30097 Phone: 404-293-5990 | |
Chen Eye Center Johns Creek Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6325 Hospital Pkwy, Suite 115, Johns Creek, GA 30097 Phone: 770-948-3070 Fax: 678-475-0504 | |
Kristin L Bender, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9925 Haynes Bridge Rd, Suite 710a, Johns Creek, GA 30022 Phone: 770-740-2000 | |
Elana Thu Trinh Vo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 215 Gaitskell Ln, Johns Creek, GA 30022 Phone: 770-363-2242 | |
Dr. Haiying Cheng, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 10475 Medlock Bridge Rd Ste 104, Johns Creek, GA 30097 Phone: 404-293-5990 | |
Dr. Elizabeth Cameron Denneny, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6300 Hospital Pkwy Ste 325, Johns Creek, GA 30097 Phone: 678-381-2020 Fax: 678-381-2015 |