Dubois Vision Center
NPI 1073505699ActiveOrganization· Optometrist· Dubois, WY
Optometrist in Dubois, Wyoming, registered in NPPES in August 2005. The authorized official on file is Brian J. Ballard, O.D., Owner/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073505699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2005 |
| Last updated in NPPES | Jul 8, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 118T | WY |
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 (WY) |
|---|