Provider Demographics
NPI:1326672411
Name:IFOCUS VISION CARE PLLC
Entity Type:Organization
Organization Name:IFOCUS VISION CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:D
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:563-564-2540
Mailing Address - Street 1:901 KELLI CIR
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-5080
Mailing Address - Country:US
Mailing Address - Phone:563-564-2540
Mailing Address - Fax:
Practice Address - Street 1:1100 MOCKINGBIRD LN
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-4853
Practice Address - Country:US
Practice Address - Phone:903-595-7610
Practice Address - Fax:903-439-4661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty