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Eye Pros Treasure Valley

NPI 1083370340ActiveOrganization· Optometrist· Meridian, ID

Optometrist in Meridian, Idaho, registered in NPPES in November 2021. The authorized official on file is Lavar Kofoed, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1083370340
StatusActive
Entity typeOrganization
NPI issuedNov 11, 2021
Last updated in NPPESFeb 14, 2023
Certified by providerFeb 9, 2023

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ID)

Medicare sources and data years

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