South Haven Eyecare Associates
NPI 1083744379ActiveOrganization· Optometrist· South Haven, MI
Optometrist in South Haven, Michigan, registered in NPPES in March 2007. The authorized official on file is Alice M. Bacak, O.D., General Partner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1083744379 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Nov 1, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 490100 | MI |
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 DME Supplier - Physician - Optometrist (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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