Provider Demographics
NPI:1518098102
Name:TRUE FOCUS EYE CARE PA
Entity Type:Organization
Organization Name:TRUE FOCUS EYE CARE PA
Other - Org Name:MARK W MATHEWS III OD PA
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHENAI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:727-819-0440
Mailing Address - Street 1:8319 EMBASSY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668
Mailing Address - Country:US
Mailing Address - Phone:727-819-0440
Mailing Address - Fax:727-819-1846
Practice Address - Street 1:8319 EMBASSY BLVD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668
Practice Address - Country:US
Practice Address - Phone:727-819-0440
Practice Address - Fax:727-819-1846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1388152W00000X
FLOPC2130152W00000X
152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1518098102OtherRAILROAD GROUP NPI
FL620437600Medicaid
FLDN0867OtherRAILROAD MEDICARE GROUP PTAN
FL1518098102OtherRAILROAD GROUP NPI
FL0763230001Medicare NSC