Provider Demographics
NPI:1053723908
Name:IN FOCUS EYECARE P.C.
Entity type:Organization
Organization Name:IN FOCUS EYECARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO- OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-641-3351
Mailing Address - Street 1:10883 CONCORD LN
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-4041
Mailing Address - Country:US
Mailing Address - Phone:832-641-3351
Mailing Address - Fax:
Practice Address - Street 1:750 S RANDALL RD
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-5915
Practice Address - Country:US
Practice Address - Phone:847-458-5343
Practice Address - Fax:847-458-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046010021152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty