Fukuzato, Ricardo
Fukuzato, Ricardo is an individual health care provider with primary practice located at 11720 Medlock Bridge Rd Suite 140, Johns Creek GA 30097-1509. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fukuzato, Ricardo can be contacted via phone (770) 495-7898.Contact Information
Primary practice address
11720 Medlock Bridge Rd Suite 140
Johns Creek GA 30097-1509
Phone: (770) 495-7898
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12991T | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002431 | Georgia |
Profile Details
| NPI number | 1013045368 |
|---|---|
| LBN Legal business name | Fukuzato, Ricardo |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jan 12th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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