Beverly Grove Vision Care Optometry, Inc
NPI 1003325390ActiveOrganization· Optometrist· Los Angeles, CA
Optometrist in Los Angeles, California, registered in NPPES in September 2017. The authorized official on file is Danielle Tammy Roth, OD, Doctor.
Overview
| NPI | 1003325390 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 14623TLG | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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