Organization
FUKUZATO EYECARE, INC
Active
Other names
Optic Owl Company
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA FUKUZATO OD (OPTOMETRIST)
(678) 807-7482
Entity
Organization
Contact information
Practice address
3670 HUTCHINSON RD STE A&B, CUMMING, GA 30040
(678) 899-2441
Mailing address
3670 HUTCHINSON RD STE A&B, CUMMING, GA 30040-5902
(678) 807-7482
(678) 807-7243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002423
GA
Other
Enumeration date
06/09/2018
Last updated
07/31/2018
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