Healthcare Provider Details

I. General information

NPI: 1992582795
Provider Name (Legal Business Name): FOCUS VISION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 WILSHIRE BLVD STE 1209
LOS ANGELES CA
90017-4003
US

IV. Provider business mailing address

1127 WILSHIRE BLVD STE 1209
LOS ANGELES CA
90017-4003
US

V. Phone/Fax

Practice location:
  • Phone: 800-805-2737
  • Fax:
Mailing address:
  • Phone: 800-805-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABRAHAM SHAMMAS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 800-805-2737