Provider Demographics
NPI:1922436799
Name:FOCUS OPTOMETRY CENTER, INC.
Entity Type:Organization
Organization Name:FOCUS OPTOMETRY CENTER, INC.
Other - Org Name:FOCUS OPTOMETRY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MEI-YIN
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-376-1271
Mailing Address - Street 1:905 DRUMMOND AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-3046
Mailing Address - Country:US
Mailing Address - Phone:760-375-9709
Mailing Address - Fax:760-650-9554
Practice Address - Street 1:905 DRUMMOND AVE
Practice Address - Street 2:
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-3046
Practice Address - Country:US
Practice Address - Phone:760-375-9709
Practice Address - Fax:760-650-9554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14056TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0009211810OtherAETNA
CAVZZ81929YOtherBLUE SHIELD
CA079219399OtherDUNS
CA12318162OtherCAQH
CAVZZ81929YOtherBLUE SHIELD