Provider Demographics
NPI: | 1982866398 |
---|---|
Name: | FOCUS POINT OPTIQUE, INC |
Entity type: | Organization |
Organization Name: | FOCUS POINT OPTIQUE, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | THANH |
Authorized Official - Middle Name: | CAM |
Authorized Official - Last Name: | TRAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OD |
Authorized Official - Phone: | 718-996-9800 |
Mailing Address - Street 1: | 2318 86TH ST |
Mailing Address - Street 2: | |
Mailing Address - City: | BROOKLYN |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11214-4310 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-996-9822 |
Mailing Address - Fax: | 718-996-9808 |
Practice Address - Street 1: | 2318 86TH ST |
Practice Address - Street 2: | |
Practice Address - City: | BROOKLYN |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11214-4310 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-996-9822 |
Practice Address - Fax: | 718-996-9808 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-06-26 |
Last Update Date: | 2008-06-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | TUV7165 | 152W00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Single Specialty |