Provider Demographics
NPI:1609042829
Name:IN FOCUS EYECARE
Entity Type:Organization
Organization Name:IN FOCUS EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:P
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:704-301-7058
Mailing Address - Street 1:1701 FIRST BAXTER XING STE 203
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8980
Mailing Address - Country:US
Mailing Address - Phone:803-802-6522
Mailing Address - Fax:803-802-6524
Practice Address - Street 1:1701 FIRST BAXTER XING STE 203
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8980
Practice Address - Country:US
Practice Address - Phone:803-802-6522
Practice Address - Fax:803-802-6524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1379305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1437242484OtherPERSONAL NPI NUMBER