Puckett Family Eye Care, PLLC
NPI 1083775878ActiveOrganization· Optometrist· Winchester, KY
Optometrist in Winchester, Kentucky, registered in NPPES in December 2006. The authorized official on file is Randall K. Puckett, OD, President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1083775878 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2006 |
| Last updated in NPPES | Jul 22, 2024 |
| Certified by provider | Jul 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1190DT | KY |
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 (KY); Part B Supplier - Clinic/Group Practice (KY) |
|---|
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