Eyecare Center, LLC
NPI 1003082058ActiveOrganization· Optometrist· Martin, TN
Optometrist in Martin, Tennessee, registered in NPPES in April 2008. The authorized official on file is Russell Moss Gilliam, O.D., Optometrist. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1003082058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2008 |
| Last updated in NPPES | Nov 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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