Organization Active NPI

Perfect Focus Eyecare, PLC

Doing business as Perfect Focus Eyecare

  • Optometrist
  • Henderson, KY
National Provider Identifier
1902495328
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PERFECT FOCUS EYECARE, PLC
Doing business as
Perfect Focus Eyecare
Practice address
1195 Barrett Blvd Unit 3
Henderson, KY 42420-7508
Phone
(270) 844-8090
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Eric Stoltz, ODNPI 1750637435
Title
Owner
Phone
(270) 844-8090

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1195 Barrett Blvd Unit 3
Henderson, KY 42420-7508

Mailing address

1195 Barrett Blvd Unit 3
Henderson, KY 42420-7508

Other names 1

  • Perfect Focus Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220225002314 KY Part B Supplier - Clinic/Group Practice 7214321793 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, KY

National Provider Directory

National Provider Directory

Locations

1195 Barret Blvd
Unit 3
Henderson, KY 42420
Phone (270) 844-8090

Practitioners & affiliated clinicians

Practitioners 2

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": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1902495328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 BARRETT BLVD UNIT 3",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424207508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 BARRETT BLVD UNIT 3",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424207508",
            "telephone_number": "270-844-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT FOCUS EYECARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "STOLTZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-844-8090",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Focus Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.