Elk River Eye Clinic, P.A.
NPI 1063457943ActiveOrganization· Optometrist· Elk River, MN
Optometrist in Elk River, Minnesota, registered in NPPES in June 2006. The authorized official on file is Gary Mark Hoffard, O.D., President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1063457943 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2006 |
| Last updated in NPPES | Aug 6, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Corneal and Contact Management | 152WC0802X | — | — |
| Technician/Technologist, Optician | 156FX1800X | — | — |
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 (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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