Healthcare Provider Details

I. General information

NPI: 1215119441
Provider Name (Legal Business Name): FOCUS EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 04/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14540 PRAIRIE LAKES BOULEVARD NORTH SUITE 100
NOBLESVILLE IN
46060
US

IV. Provider business mailing address

14540 PRAIRIE LAKES BLVD N STE 100
NOBLESVILLE IN
46060-4326
US

V. Phone/Fax

Practice location:
  • Phone: 317-362-8314
  • Fax:
Mailing address:
  • Phone: 317-770-8555
  • Fax: 317-770-8558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number01048750A
License Number StateIN

VIII. Authorized Official

Name: DR. WILLIAM ZEH
Title or Position: OWNER
Credential: MD
Phone: 317-770-8555