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NPI 1073025516ActiveOrganization· Optometrist· Birch Run, MI

Optometrist in Birch Run, Michigan, registered in NPPES in October 2017. The authorized official on file is Nicole Jaruzel, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1073025516
StatusActive
Entity typeOrganization
NPI issuedOct 24, 2017
Last updated in NPPESSep 13, 2022
Certified by providerSep 13, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

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)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

Other Optometrist providers in Birch Run

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