Organization Active NPI

Focus 313 Eyecare, P.C.

  • Optometrist
  • Grosse Pointe, MI
National Provider Identifier
1922472505
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004540 Issued in MI
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

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Dr. Monica Johnsonbaugh, O.D.NPI 1750510897
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20151210001834 MI Part B Supplier - Clinic/Group Practice 5092016329 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pointe, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.