Provider Demographics
NPI:1346452422
Name:FOCUS FOUR, INC.
Entity Type:Organization
Organization Name:FOCUS FOUR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPITLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:586-751-3700
Mailing Address - Street 1:26768 DEQUINDRE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-3939
Mailing Address - Country:US
Mailing Address - Phone:586-751-3700
Mailing Address - Fax:586-751-5398
Practice Address - Street 1:26768 DEQUINDRE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-3939
Practice Address - Country:US
Practice Address - Phone:586-751-3700
Practice Address - Fax:586-751-5398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact LensGroup - Multi-Specialty
No156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1346452422Medicare PIN
MI1346452422Medicare UPIN
MI3900600001Medicare NSC