MEDICARE: FOCUS EYE CARE CENTER, PC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801830146
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS EYE CARE CENTER, PC

Provider Business Mailing Address
First Line	:	119 LATONEA DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-7572
Country	:	US
Telephone Number	:	803-798-8642
Fax Number	:	803-798-0422

Provider Business Practice Location Address
First Line	:	612 SAINT ANDREWS RD STE 12
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-5120
Country	:	US
Telephone Number	:	803-732-4099
Fax Number	:	803-227-8992

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN L BRINKLEY
Credential	:	O.D.
Telephone Number	:	803-798-8642

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	10/25/2024

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