City Optical Co., Inc.
NPI 1003805185ActiveOrganization· Optometrist· Bloomington, IN
Optometrist in Bloomington, Indiana, registered in NPPES in October 2005. The authorized official on file is Larry S. Tavel, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003805185 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2005 |
| Last updated in NPPES | Oct 27, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist | 152W00000X | 18001836 | IN |
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 Part B Supplier - Clinic/Group Practice (IN) |
|---|
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