Healthcare Provider Details

I. General information

NPI: 1447833058
Provider Name (Legal Business Name): FOCUS EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3007 HUNTINGTON DR STE 202
PASADENA CA
91107-5522
US

IV. Provider business mailing address

3007 HUNTINGTON DR STE 202
PASADENA CA
91107-5522
US

V. Phone/Fax

Practice location:
  • Phone: 626-657-2020
  • Fax: 213-377-9590
Mailing address:
  • Phone: 626-657-2020
  • Fax: 213-377-9590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KAY THWE KHINE
Title or Position: SECRETARY
Credential: MD
Phone: 626-657-2020