Exclusive Eyewear No. 2, LLC
NPI 1073123352ActiveOrganization· Optometrist· Pompano Beach, FL
Optometrist in Pompano Beach, Florida, registered in NPPES in August 2020. The authorized official on file is Jackie Bennett, Credentialing Supervisor.
Overview
| NPI | 1073123352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2020 |
| Last updated in NPPES | Mar 16, 2021 |
| Certified by provider | Feb 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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