Focus Eye Care Prof LLC
Organization Active NPI Optometrist · Bowman, ND
NPI 1760964795 · NPPES record last updated Sep 6, 2018
Key facts
- NPI
- 1760964795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 739 (ND)
- Legal business name
- FOCUS EYE CARE PROF LLC
- Practice address
- 16 W Divide Street
Bowman, ND 58623 - Phone
- (605) 523-7707
- NPI assigned
- Sep 6, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Sarah Stuchl, OD
- Title
- President
- Phone
- (701) 523-7707
Practitioners 1
-
Sarah Jeanne Stuchl, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191227000986 | ND | Part B Supplier - Clinic/Group Practice | 4981038940 |
Receives reassigned benefits from 1 practitioner Practice locations: Bowman, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 739 | ND | Yes |
Addresses
Primary practice location
16 W Divide Street
Bowman, ND 58623
Mailing address
PO Box 229
Bowman, ND 58623-0229
Phone (605) 523-7707
Other providers in Bowman, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.