MEDICARE: INFOCUS VISION, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6927TG	TX

General Provider Information

NPI Number	:	1427305283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFOCUS VISION, P.C.

Provider Business Mailing Address
First Line	:	4800 S HULEN ST STE 2720
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1465
Country	:	US
Telephone Number	:	817-346-2186
Fax Number	:	817-370-7902

Provider Business Practice Location Address
First Line	:	4800 S HULEN ST STE 2720
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1465
Country	:	US
Telephone Number	:	817-346-2186
Fax Number	:	817-370-7902

Authorized Official
Title or Position	:	OPTOMETRIST/PRESIDENT
Name	:	DR. TRANG DAO
Credential	:	O.D.
Telephone Number	:	817-346-2186

Provider Enumeration Date	:	08/12/2012
Last Update Date	:	10/08/2014

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