DR. CLIFFORD A FUKUSHIMA O.D.
NPI 1093929085
Optometrist in Visalia, CA

Active since May 09, 2007Opted out of Medicare · through Jan 3, 2028
5501 W HILLSDALE AVE STE D, VISALIA, CA 93291(559) 625-5464(559) 625-0714 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clifford A Fukushima O.d. NPPES

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

DR. CLIFFORD A FUKUSHIMA O.D. (NPI 1093929085) is an individual optometrist in Visalia, California, licensed in California (OPT6441T) and active in the NPI registry since May 2007. He has opted out of Medicare through January 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1093929085
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CLIFFORD A FUKUSHIMACredential: O.D.
Location Address5501 W HILLSDALE AVE STE DVisalia, CA 93291-5159
Mailing Address5501 W Hillsdale Ave Ste DVisalia, CA 93291-5159 · (559) 625-5464 · Fax (559) 625-0714
Fax(559) 625-0714
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1093929085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · OPT6441T
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.
5501 W HILLSDALE AVE STE D, Visalia, CA 93291

Other Identifiers 5

Medicare NSC5081820001
Medicare UPINT10322
Medicare ID-Type UnspecifiedP00083170Railroard Medicare
Medicare ID-Type UnspecifiedZZZ26544Z
MedicaidSD0064410CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Clifford A Fukushima O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2022 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2022
Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93291 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 2

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

Optometrist
5501 W HILLSDALE AVE STE D
VISALIA, CA 93291
Optometrist
5501 W HILLSDALE AVE STE D
VISALIA, CA 93291

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 Clifford Fukushima's NPI number?

The NPI number for Clifford Fukushima is 1093929085. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Clifford Fukushima located?

Clifford Fukushima practices at 5501 W Hillsdale Ave Ste D, Visalia, CA 93291. The listed phone number is (559) 625-5464.

What is Clifford Fukushima's specialty?

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

Is Clifford Fukushima enrolled in Medicare?

No. Clifford Fukushima has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Clifford Fukushima was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.