Provider Demographics
NPI:1003845728
Name:FOCUS EYE GROUP, P.C.
Entity Type:Organization
Organization Name:FOCUS EYE GROUP, P.C.
Other - Org Name:GARY J LEVIN MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:CHRONISTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-384-9100
Mailing Address - Street 1:3000 C G ZINN ROAD
Mailing Address - Street 2:THE GREENVIEW PAVILION
Mailing Address - City:THORNDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19372-1134
Mailing Address - Country:US
Mailing Address - Phone:610-384-9100
Mailing Address - Fax:610-384-3937
Practice Address - Street 1:3000 C G ZINN ROAD
Practice Address - Street 2:THE GREENVIEW PAVILION
Practice Address - City:THORNDALE
Practice Address - State:PA
Practice Address - Zip Code:19372-1134
Practice Address - Country:US
Practice Address - Phone:610-384-9100
Practice Address - Fax:610-384-3937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015502E332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0297260001Medicare NSC