Organization Active NPI

Infocus Eyewear

  • Clinic/Center
  • Greensboro, NC
National Provider Identifier
1013231943
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
200100470 Issued in NC
Legal business name
INFOCUS EYEWEAR
Practice address
719 Green Valley Rd
Ste 303 B
Greensboro, NC 27408-7014
Phone
(336) 235-2577
Fax
(336) 235-2578
NPI assigned
Mar 22, 2010
Organization subpart
Yes
Parent organization
KOALA EYE CENTREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Antonio Spencer, M.D.
Title
President
Phone
(336) 378-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 200100470 NC Primary

Addresses

Primary practice location

719 Green Valley Rd
Ste 303 B
Greensboro, NC 27408-7014

Mailing address

719 Green Valley Rd
Ste 303 B
Greensboro, NC 27408-7014
Phone (336) 235-2577

Other identifiers 1

IdentifierTypeStateIssuer
8913132MedicaidNC

National Provider Directory

National Provider Directory
Part of
Koala Eye Centre

Locations

719 Green Valley Rd
Ste 303B
Greensboro, NC 27408
Phone (336) 235-2577

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1013231943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "STE 303 B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-235-2577",
            "fax_number": "336-235-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 GREEN VALLEY RD",
            "address_2": "STE 303 B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087014",
            "telephone_number": "336-235-2577",
            "fax_number": "336-235-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFOCUS EYEWEAR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOALA EYE CENTRE",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-378-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "200100470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.