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Merdoche Ephraim Gustave

NPI 1003799362ActiveIndividual· Technician/Technologist, Optician· Groton, CT

Technician/Technologist, Optician in Groton, Connecticut, licensed in CT, with an NPI issued in July 2025.

Overview

NPI1003799362
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 25, 2025
Last updated in NPPESJul 25, 2025
Certified by providerJul 25, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Technician/Technologist, Optician Primary156FX1800X1939CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other opticians in Groton

All 16 opticians in Groton · All opticians in Connecticut