MEDICARE: INFOCUS FAMILY EYECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4222	FL

General Provider Information

NPI Number	:	1639599012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFOCUS FAMILY EYECARE LLC

Provider Business Mailing Address
First Line	:	8210 LAKEWOOD RANCH BLVD STE 101
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5331
Country	:	US
Telephone Number	:	941-362-2020
Fax Number	:	941-718-4926

Provider Business Practice Location Address
First Line	:	8210 LAKEWOOD RANCH BLVD STE 101
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202-5331
Country	:	US
Telephone Number	:	941-362-2020
Fax Number	:	941-718-4926

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. BRAD DANIEL MASUGA
Credential	:	O.D.
Telephone Number	:	941-362-2020

Provider Enumeration Date	:	04/23/2014
Last Update Date	:	01/13/2026

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