Organization
CLIFFORD A FUKUSHIMA OD INC
Active
Other names
Integrated Vision Care Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD AIKO FUKUSHIMA OD (OWNER)
(559) 625-5464
Entity
Organization
Contact information
Practice address
5501 W HILLSDALE AVE, STE D, VISALIA, CA 93291-5159
(559) 625-5464
(559) 625-0714
Mailing address
5501 W HILLSDALE AVE, STE D, VISALIA, CA 93291-5159
(559) 625-5464
(559) 625-0714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6441T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00083170
MEDICARE RAILROAD
—
05
—
SD0064410
—
CA
Enumeration date
09/21/2005
Last updated
09/23/2009
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