Organization Active NPI

Focus Optometry Center, Inc.

  • Optometrist
  • Ridgecrest, CA
National Provider Identifier
1922436799
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14056TLG Issued in CA
Legal business name
FOCUS OPTOMETRY CENTER, INC.
Practice address
905 Drummond Ave
Ridgecrest, CA 93555-3046
Phone
(760) 375-9709
Fax
(760) 650-9554
NPI assigned
Oct 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Dr. Jennifer Mei-Yin Chen, O.D.NPI 1649570375
Title
President
Phone
(626) 376-1271

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 14056TLG CA Primary

Addresses

Primary practice location

905 Drummond Ave
Ridgecrest, CA 93555-3046

Mailing address

905 Drummond Ave
Ridgecrest, CA 93555-3046
Phone (760) 375-9709

Other identifiers 4

IdentifierTypeStateIssuer
0009211810OtherCAAETNA
VZZ81929YOtherCABLUE SHIELD
079219399OtherCADUNS
12318162OtherCACAQH

Other names 1

  • Focus Optometry Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327000278 CA Part B Supplier - Clinic/Group Practice 8022249556 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgecrest, CA

National Provider Directory

National Provider Directory

Locations

905 W Drummond Ave
Ridgecrest, CA 93555
Phone (760) 375-9709

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": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1922436799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DRUMMOND AVE",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553046",
            "telephone_number": "760-375-9709",
            "fax_number": "760-650-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DRUMMOND AVE",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553046",
            "telephone_number": "760-375-9709",
            "fax_number": "760-650-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS OPTOMETRY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MEI-YIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-376-1271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14056TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0009211810",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "VZZ81929Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "079219399",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12318162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Focus Optometry Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.