Provider Demographics
NPI:1982806394
Name:PROPER FOCUS INC.
Entity Type:Organization
Organization Name:PROPER FOCUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORNDUFF
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED OPTICIAN
Authorized Official - Phone:434-293-5364
Mailing Address - Street 1:1149 MILLMONT ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4868
Mailing Address - Country:US
Mailing Address - Phone:434-293-5364
Mailing Address - Fax:434-293-7580
Practice Address - Street 1:1149 MILLMONT ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4868
Practice Address - Country:US
Practice Address - Phone:434-293-5364
Practice Address - Fax:434-293-7580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101001492332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4101240001Medicare ID - Type UnspecifiedMEDICARE