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Leidenix PC

NPI 1063602050ActiveOrganization· Optometrist· Bismarck, ND

Optometrist in Bismarck, North Dakota, registered in NPPES in July 2007. The authorized official on file is Melissa Mattson, Manager.

Overview

NPI1063602050
StatusActive
Entity typeOrganization
NPI issuedJul 26, 2007
Last updated in NPPESOct 3, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X511ND

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Optometrist providers in Bismarck

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