Provider Demographics
NPI:1386116168
Name:INFOCUS EYE CARE, PLLC
Entity type:Organization
Organization Name:INFOCUS EYE CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:LEONHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-642-6168
Mailing Address - Street 1:6609 SHADOW STAR DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80927-4401
Mailing Address - Country:US
Mailing Address - Phone:303-642-6168
Mailing Address - Fax:
Practice Address - Street 1:1234 E WOODMEN RD UNIT 120
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-8248
Practice Address - Country:US
Practice Address - Phone:303-642-6168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty