Mobilitycares Arizona LLC
NPI 1063210201ActiveOrganization· Optometrist· Caldwell, ID
Optometrist in Caldwell, Idaho, registered in NPPES in March 2025. The authorized official on file is Landon Hagberg, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063210201 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2025 |
| Last updated in NPPES | Mar 4, 2025 |
| Certified by provider | Feb 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 (AZ) |
|---|
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