1 Vision S.C.
NPI 1033197397ActiveOrganization· Optometrist· Shawano, WI
Optometrist in Shawano, Wisconsin, registered in NPPES in January 2006. The authorized official on file is Thomas G. Peterson, O.D., O.D. - President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1033197397 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2006 |
| Last updated in NPPES | May 17, 2022 |
| Certified by provider | May 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2324 | WI |
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 (WI); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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