Tj Fancy Enterprises LLC
NPI 1043066624ActiveOrganization· Optometrist· Camillus, NY
Optometrist in Camillus, New York, registered in NPPES in April 2024. The authorized official on file is Tanya Grevelding, Owner.
Overview
| NPI | 1043066624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2024 |
| Last updated in NPPES | Apr 25, 2024 |
| Certified by provider | Apr 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other optometrists in Camillus
- 1285618439
- 1811620834
- 1881892115
- 1154032456
- 1518626811
- 1831247394
- 1932026812
- 1942261458
- 1215029285