Mud Springs Vision Clinic, Inc.
NPI 1043554686ActiveOrganization· Optometrist· Wheatland, WY
Optometrist in Wheatland, Wyoming, registered in NPPES in November 2012. The authorized official on file is Jaime A. Hazen, O.D., Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1043554686 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2012 |
| Last updated in NPPES | Nov 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 340T | WY |
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 (WY); Part B Supplier - Clinic/Group Practice (WY) |
|---|
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