Active NPI
Infocus Eyewear
- Clinic/Center
- Greensboro, NC
National Provider Identifier
1013231943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 200100470
- 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 CENTRE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913132 | Medicaid | NC |
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.
-
- Ophthalmologic Surgery Clinic/Center
- Greensboro, NC
- NPI 1376722231
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.