Provider Demographics
NPI:1750611372
Name:FOCAL POINT
Entity type:Organization
Organization Name:FOCAL POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYHAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:ARYAH, MD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-687-1927
Mailing Address - Street 1:2002 HIGHWAY 101, NORTH
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-0155
Mailing Address - Country:US
Mailing Address - Phone:541-997-8422
Mailing Address - Fax:541-997-6175
Practice Address - Street 1:2002 HIGHWAY 101, NORTH
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-0155
Practice Address - Country:US
Practice Address - Phone:541-997-8422
Practice Address - Fax:541-997-6175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NO LICENSE332H00000X
OR332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0415100003Medicare NSC