Provider Demographics
NPI:1376064592
Name:FOCUS OPTICAL INC.
Entity Type:Organization
Organization Name:FOCUS OPTICAL INC.
Other - Org Name:PEARLE VISION YUKON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TORRY
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:ELSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-314-2260
Mailing Address - Street 1:12444 NW 10TH ST
Mailing Address - Street 2:BUILDING H SUITE 101
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-5844
Mailing Address - Country:US
Mailing Address - Phone:405-314-2260
Mailing Address - Fax:
Practice Address - Street 1:12444 NW 10TH ST
Practice Address - Street 2:BLDG H STE 101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73119
Practice Address - Country:US
Practice Address - Phone:405-314-2260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-28
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200739920AMedicaid