Organization Active NPI

Focus Optical Inc.

Doing business as Pearle Vision Yukon

  • Optician
  • Oklahoma City, OK
National Provider Identifier
1376064592
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FOCUS OPTICAL INC.
Doing business as
Pearle Vision Yukon
Practice address
12444 NW 10TH St
BLDG H Ste 101
Oklahoma City, OK 73119
Phone
(405) 314-2260
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Mr. Torry Eugene ElstonNPI 1255939377
Title
Manager/Owner
Phone
(405) 314-2260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

12444 NW 10TH St
BLDG H Ste 101
Oklahoma City, OK 73119

Mailing address

12444 NW 10TH St
Building H Suite 101
Yukon, OK 73099-5844
Phone (405) 314-2260

Other identifiers 1

IdentifierTypeStateIssuer
200739920AMedicaidOK

Other names 1

  • Pearle Vision Yukon Doing business as

National Provider Directory

National Provider Directory

Locations

12444 NW 10th St
Ste 101
Yukon, OK 73099
Phone (405) 265-7521

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1376064592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 NW 10TH ST",
            "address_2": "BUILDING H SUITE 101",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995844",
            "telephone_number": "405-314-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 NW 10TH ST",
            "address_2": "BLDG H STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73119",
            "telephone_number": "405-314-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "ELSTON",
        "authorized_official_first_name": "TORRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "405-314-2260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200739920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Yukon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision Yukon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.