Provider Demographics
NPI:1508037573
Name:IN FOCUS OPTOMETRY, INC
Entity Type:Organization
Organization Name:IN FOCUS OPTOMETRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WEYLAND
Authorized Official - Middle Name:B
Authorized Official - Last Name:DEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-264-1264
Mailing Address - Street 1:1375 BLOSSOM HILL RD
Mailing Address - Street 2:SUITE 28
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-3806
Mailing Address - Country:US
Mailing Address - Phone:408-264-1264
Mailing Address - Fax:408-264-8709
Practice Address - Street 1:1375 BLOSSOM HILL RD
Practice Address - Street 2:SUITE 28
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-3806
Practice Address - Country:US
Practice Address - Phone:408-264-1264
Practice Address - Fax:408-264-8709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty