Provider Demographics
NPI:1629839717
Name:FOCUS EYECARE
Entity Type:Organization
Organization Name:FOCUS EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ORBAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANWARI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-722-4915
Mailing Address - Street 1:9405 LIBERIA AVE
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-1718
Mailing Address - Country:US
Mailing Address - Phone:703-722-4915
Mailing Address - Fax:
Practice Address - Street 1:9405 LIBERIA AVE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-1718
Practice Address - Country:US
Practice Address - Phone:703-722-4915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty