Focus Optometry, P.C.
Organization Active NPI Optometrist · Sioux Falls, SD
NPI 1962022244 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1962022244
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- FOCUS OPTOMETRY, P.C.
- Practice address
- 2100 S Marion Rd Ste 125
Sioux Falls, SD 57106-3648 - Phone
- (605) 322-1702
- Fax
- (605) 322-1704
- NPI assigned
- Apr 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul J Draayer, OD
- Title
- President/Optometrist
- Phone
- (605) 965-4733
Practitioners 1
-
Paul Draayer, O.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2184885 | Focus Optometry | Certificate of waiver | May 26, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200611000133 | SD | Part B Supplier - Clinic/Group Practice | 3274954631 |
Receives reassigned benefits from 1 practitioner Practice locations: Sioux Falls, SD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2100 S Marion Rd Ste 125
Sioux Falls, SD 57106-3648
Mailing address
2100 S Marion Rd Ste 125
Sioux Falls, SD 57106-3648
Phone (605) 965-4733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S50719 | Medicaid | SD |
Other names
- FOCUS Optometry
NPI Registry JSON
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604966400000",
"number": "1962022244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 S MARION RD STE 125",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571063648",
"telephone_number": "605-965-4733",
"fax_number": "605-965-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S MARION RD STE 125",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571063648",
"telephone_number": "605-322-1702",
"fax_number": "605-322-1704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOCUS OPTOMETRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-16",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A",
"authorized_official_last_name": "DRAAYER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
"authorized_official_telephone_number": "605-965-4733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S50719",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FOCUS Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux Falls, SD
- Nicole Fluth
- Ann Marie Flynn-Crowe
- Kathryn Flynn
- Sarah A Flynn
- Valerie Flynn
- Casey Fodness
- Sarah Fodness
- Julie Lynn Fods
- Bruce S Fogas
- Emmanuel Fohle
All providers in Sioux Falls, SD · Optometrist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.