Granville Vision Center LLC
NPI 1083230858ActiveOrganization· Optometrist· Granville, OH
Optometrist in Granville, Ohio, registered in NPPES in June 2020. The authorized official on file is Jenna Tyler, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083230858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2020 |
| Last updated in NPPES | Jun 17, 2020 |
| Certified by provider | Jun 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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