Active NPI
Focus 313 Eyecare, P.C.
- Optometrist
- Grosse Pointe, MI
National Provider Identifier
1922472505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004540
- Legal business name
- FOCUS 313 EYECARE, P.C.
- Practice address
- 17135 Kercheval Ave
Grosse Pointe, MI 48230-1660 - Phone
- (313) 473-9339
- Fax
- (313) 406-7254
- NPI assigned
- Nov 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Johnsonbaugh, O.D.
- Title
- President/Optometrist
- Phone
- (313) 473-9339
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004540 | MI | Primary |
Addresses
Primary practice location
17135 Kercheval Ave
Grosse Pointe, MI 48230-1660
Mailing address
17135 Kercheval Ave
Grosse Pointe, MI 48230-1660
Phone (313) 473-9339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17135 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 473-9339
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Grosse Pointe, MI
- NPI 1750510897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602633600000",
"number": "1922472505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17135 KERCHEVAL AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301660",
"telephone_number": "313-473-9339",
"fax_number": "313-406-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17135 KERCHEVAL AVE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301660",
"telephone_number": "313-473-9339",
"fax_number": "313-406-7254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUS 313 EYECARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A",
"authorized_official_last_name": "JOHNSONBAUGH",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
"authorized_official_telephone_number": "313-473-9339",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901004540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.