Provider Demographics
| NPI: | 1982866398 |
|---|---|
| Name: | FOCUS POINT OPTIQUE, INC |
| Entity type: | Organization |
| Organization Name: | FOCUS POINT OPTIQUE, INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VICE PRESIDENT |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | THANH |
| Authorized Official - Middle Name: | CAM |
| Authorized Official - Last Name: | TRAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | OD |
| Authorized Official - Phone: | 718-996-9800 |
| Mailing Address - Street 1: | 2318 86TH ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BROOKLYN |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11214-4310 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 718-996-9822 |
| Mailing Address - Fax: | 718-996-9808 |
| Practice Address - Street 1: | 2318 86TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | BROOKLYN |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 11214-4310 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 718-996-9822 |
| Practice Address - Fax: | 718-996-9808 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-06-26 |
| Last Update Date: | 2008-06-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NY | TUV7165 | 152W00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 152W00000X | Eye and Vision Services Providers | Optometrist | Group - Single Specialty |