Healthcare Provider Details

I. General information

NPI: 1801830146
Provider Name (Legal Business Name): FOCUS EYE CARE CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 SAINT ANDREWS RD STE 12
COLUMBIA SC
29210-5120
US

IV. Provider business mailing address

119 LATONEA DR
COLUMBIA SC
29210-7572
US

V. Phone/Fax

Practice location:
  • Phone: 803-732-4099
  • Fax: 803-227-8992
Mailing address:
  • Phone: 803-798-8642
  • Fax: 803-798-0422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOHN L BRINKLEY
Title or Position: OWNER
Credential: O.D.
Phone: 803-798-8642