Provider Demographics
NPI:1861626988
Name:FOCAL POINT OPTICAL INC
Entity Type:Organization
Organization Name:FOCAL POINT OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:202-829-2700
Mailing Address - Street 1:7828 EASTERN AVE NW STE 101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1303
Mailing Address - Country:US
Mailing Address - Phone:202-829-2700
Mailing Address - Fax:202-829-4033
Practice Address - Street 1:7828 EASTERN AVE NW STE 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1303
Practice Address - Country:US
Practice Address - Phone:202-829-2700
Practice Address - Fax:202-829-4033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC615332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCU45949Medicare UPIN