Healthcare Provider Details

I. General information

NPI: 1821923244
Provider Name (Legal Business Name): FOCO EYE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 ROBERTSON ST
FORT COLLINS CO
80524-3926
US

IV. Provider business mailing address

1037 ROBERTSON ST
FORT COLLINS CO
80524-3926
US

V. Phone/Fax

Practice location:
  • Phone: 970-224-0606
  • Fax:
Mailing address:
  • Phone: 970-224-0606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MARK D JACKSON
Title or Position: PRESIDENT
Credential: OD
Phone: 970-224-0606