Provider Demographics
NPI:1740320803
Name:INFOCUS VISION OPTOMETRIC CENTER, INC.
Entity type:Organization
Organization Name:INFOCUS VISION OPTOMETRIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-303-1888
Mailing Address - Street 1:29 E. HUNTINGTON DR.
Mailing Address - Street 2:STE. B
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3210
Mailing Address - Country:US
Mailing Address - Phone:626-303-1888
Mailing Address - Fax:626-821-9696
Practice Address - Street 1:29 E. HUNTINGTON DR.
Practice Address - Street 2:STE. B
Practice Address - City:ARACADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3210
Practice Address - Country:US
Practice Address - Phone:626-303-1888
Practice Address - Fax:626-821-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty