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 NPI 1760717847
Title
President/Optometrist
Phone
(605) 965-4733

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D2184885Focus Optometry
2100 South Marion Road, Sioux Falls, SD 57106
Certificate of waiverMay 26, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
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

IdentifierTypeStateIssuer
S50719MedicaidSD

Other names

  • FOCUS Optometry Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 10, 2020.

{
    "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

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Sources for this page

Verify at the official NPI Registry.