Organization Active NPI

Focused Eye Care LLC

Doing business as Focused Eye Care

  • Optometrist
  • South Bend, IN
National Provider Identifier
1841796612
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003839A Issued in IN
Legal business name
FOCUSED EYE CARE LLC
Doing business as
Focused Eye Care
Practice address
810 E Colfax Ave
South Bend, IN 46617-2804
Phone
(574) 287-3333
Fax
(574) 287-9999
NPI assigned
Apr 2, 2018
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Whitney Purtzer, ODNPI 1861806200
Title
Owner
Phone
(574) 287-3333

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003839A IN Primary

Addresses

Primary practice location

810 E Colfax Ave
South Bend, IN 46617-2804

Mailing address

810 E Colfax Ave
South Bend, IN 46617-2804
Phone (574) 287-3333

Other identifiers 4

IdentifierTypeStateIssuer
100150490MedicaidIN
10040990MedicaidIN
100279980AMedicaidIN
201242440MedicaidIN

Other names 1

  • Focused Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180416000929 IN Part B Supplier - Clinic/Group Practice 0143583625 Receives reassigned benefits from 3 practitioners
Practice locations: South Bend, IN
O20180814004269 IN DME Supplier - Physician - OptometristDME Supplier - Optician 0143583625 Practice locations: South Bend, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Focused Eye Care LLC810 E Colfax Ave, South Bend, IN 46617-2804(574) 287-3333 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jun 1, 2018

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1841796612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-287-3333",
            "fax_number": "574-287-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-287-3333",
            "fax_number": "574-287-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUSED EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "PURTZER",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-287-3333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003839A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100150490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10040990",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279980A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201242440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focused Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.