Provider Demographics
NPI:1952946139
Name:FOCUS FAMILY EYE CARE LLC
Entity Type:Organization
Organization Name:FOCUS FAMILY EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER-ADEYEMI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:478-239-1438
Mailing Address - Street 1:PO BOX 28045
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-8045
Mailing Address - Country:US
Mailing Address - Phone:678-734-3489
Mailing Address - Fax:770-288-3390
Practice Address - Street 1:4949 BILL GARDNER PKWY
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-2910
Practice Address - Country:US
Practice Address - Phone:678-734-3489
Practice Address - Fax:770-288-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty