Provider Demographics
NPI:1669333464
Name:BRIAN K FOUTCH OD INC
Entity type:Organization
Organization Name:BRIAN K FOUTCH OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:FOUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-445-3507
Mailing Address - Street 1:20231 W VALLEY BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-6865
Mailing Address - Country:US
Mailing Address - Phone:661-822-1212
Mailing Address - Fax:661-822-3296
Practice Address - Street 1:20231 W VALLEY BLVD STE G
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-6865
Practice Address - Country:US
Practice Address - Phone:661-822-1212
Practice Address - Fax:661-822-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty