DR. RICARDO FUKUZATO O.D.
NPI 1013045368
Optometrist in Johns Creek, GA

Q: What is Ricardo Fukuzato's NPI number?

The NPI number for Ricardo Fukuzato is 1013045368. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Ricardo Fukuzato's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ricardo Fukuzato was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 01, 2007PECOS Enrolled

11720 MEDLOCK BRIDGE RD, SUITE 140, JOHNS CREEK, GA 30097(770) 495-7898 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ricardo Fukuzato O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICARDO FUKUZATO O.D. (NPI 1013045368) is an individual optometrist in Johns Creek, Georgia, licensed in Georgia (OPT002431) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013045368

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RICARDO FUKUZATOCredential: O.D.

Location Address11720 MEDLOCK BRIDGE RD, SUITE 140Johns Creek, GA 30097-1509

Mailing Address11103 West AveSan Antonio, TX 78213-1338 · (812) 285-5050

Phone(770) 495-7898

Sole ProprietorNo

Enumeration DateMarch 1, 2007

Last NPPES UpdateJanuary 12, 2009

✔ NPI 1013045368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in GA · OPT002431✔ Licensed in CA · 12991T

Definition

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.

11720 MEDLOCK BRIDGE RD, Johns Creek, GA 30097

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ricardo Fukuzato O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONA HOWARD

Massage Therapist

11720 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (770) 622-4000

MARCY CARR

Massage Therapist

11720 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (770) 622-4000

CHRISTIE CERWINKA OD

Optometrist

11720 MEDLOCK BRIDGE RD, STE. 140
DULUTH, GA 30097

Gwinnett County (770) 495-7898

CASSANDRE BOSSE

Massage Therapist

11720 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (770) 622-4000

ELIZABETH MOSCA

Massage Therapist

11720 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (770) 622-4000

MARK LYNN OD & ASSOCIATES

Eyewear Supplier

11720 MEDLOCK BRIDGE RD, 140
DULUTH, GA 30097

Gwinnett County (770) 495-7898

DIANA REEVES

Massage Therapist

11720 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (770) 622-4000

KATHERINE HAWKINS

Massage Therapist

11720 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (770) 622-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Fukuzato's NPI number?

The NPI number for Ricardo Fukuzato is 1013045368. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Ricardo Fukuzato located?

Ricardo Fukuzato practices at 11720 Medlock Bridge Rd Suite 140, Johns Creek, GA 30097. The listed phone number is (770) 495-7898.

What is Ricardo Fukuzato's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ricardo Fukuzato enrolled in Medicare?

Yes. Ricardo Fukuzato is registered in the Medicare PECOS enrollment system.

What insurance does Ricardo Fukuzato accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ricardo Fukuzato as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ricardo Fukuzato was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.