Healthcare Provider Details

I. General information

NPI: 1578581070
Provider Name (Legal Business Name): FOCUS EYE GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/20/2024
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 C G ZINN ROAD THE GREENVIEW PAVILION
THORNDALE PA
19372-1134
US

IV. Provider business mailing address

3000 C G ZINN ROAD THE GREENVIEW PAVILION
THORNDALE PA
19372-1134
US

V. Phone/Fax

Practice location:
  • Phone: 610-384-9100
  • Fax: 610-384-3937
Mailing address:
  • Phone: 610-384-9100
  • Fax: 610-384-3937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD015502E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA ARNDT
Title or Position: SITE MANAGER
Credential:
Phone: 610-384-9100