Organization Active NPI

Advanced Focus Care LLC

  • Optometrist
  • New Albany, IN
National Provider Identifier
1821490178
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003755 Issued in IN
Legal business name
ADVANCED FOCUS CARE LLC
Practice address
5120 Charlestown Rd
Suite 4
New Albany, IN 47150-9497
Phone
(812) 944-9944
Fax
(812) 284-2326
NPI assigned
Sep 18, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Candice Lynn Olund, O.D.NPI 1942556881
Title
Owner
Phone
(812) 944-9944

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

Practitioners 4

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20141016002787 IN Part B Supplier - Clinic/Group Practice 8426279399 Receives reassigned benefits from 4 practitioners
Practice locations: Sellersburg, IN

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003755 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

5120 Charlestown Rd
Suite 4
New Albany, IN 47150-9497

Mailing address

5120 Charlestown Rd
Suite 4
New Albany, IN 47150-9497
Phone (812) 944-9944

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
201081460MedicaidIN

Other names 1

NPPES NPI Registry
  • Focus Eyecare Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2014.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1821490178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 CHARLESTOWN RD",
            "address_2": "SUITE 4",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509497",
            "telephone_number": "812-944-9944",
            "fax_number": "812-284-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 CHARLESTOWN RD",
            "address_2": "SUITE 4",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509497",
            "telephone_number": "812-944-9944",
            "fax_number": "812-284-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FOCUS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "OLUND",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-944-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201081460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focus Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.