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MRS. PATRICIA GRACE FUKUZATO O.D.
NPI 1447388905
Optometrist in Cumming, GA

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
3670 HUTCHINSON RD STE A, CUMMING, GA 30040(678) 807-7482(678) 807-7243 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2019, Jun 27, 2018 (2 updates tracked since 2018).

About Mrs. Patricia Grace Fukuzato O.d. NPPES

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

MRS. PATRICIA GRACE FUKUZATO O.D. (NPI 1447388905) is an individual optometrist in Cumming, Georgia, licensed in Georgia (OPT002423) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2004).

NPPES Registry Identity

NPI1447388905
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. PATRICIA GRACE FUKUZATOCredential: O.D.
Location Address3670 HUTCHINSON RD STE ACumming, GA 30040-5903
Mailing Address3670 Hutchinson Rd Ste ACumming, GA 30040-5903 · (678) 807-7482 · Fax (678) 807-7243
Phone(678) 807-7482
Fax(678) 807-7243
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2004
Enumeration DateFebruary 28, 2007
Last NPPES UpdateMay 29, 20192 updates tracked since enumeration
✔ NPI 1447388905 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 · OPT002423✔ Licensed in CA · 12940T✔ Licensed in NY · 006834TUV
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.
3670 HUTCHINSON RD STE A, Cumming, GA 30040
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Other Names 1

Professional Name (2)Patricia Grace Bonomolo O.d.

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 and accepts Medicare assignment

Mrs. Patricia Grace Fukuzato O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052373784
PECOS Enrollment IDI20120614000429
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services15 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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.

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 Patricia Fukuzato's NPI number?

The NPI number for Patricia Fukuzato is 1447388905. It was assigned to this individual provider in the NPPES registry on February 28, 2007. The provider is also known as Patricia Grace Bonomolo O.D..

Where is Patricia Fukuzato located?

Patricia Fukuzato practices at 3670 Hutchinson Rd Ste A, Cumming, GA 30040. The listed phone number is (678) 807-7482.

What is Patricia Fukuzato's specialty?

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

Is Patricia Fukuzato enrolled in Medicare?

Yes. Patricia Fukuzato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Patricia Fukuzato accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Patricia 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 Patricia Fukuzato was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.