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Oregon Trail Eye Care, PC

NPI 1093982217ActiveOrganization· Optometrist· Soda Springs, ID

Optometrist in Soda Springs, Idaho, registered in NPPES in May 2008. The authorized official on file is Jeffrey Paul Collins, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1093982217
StatusActive
Entity typeOrganization
NPI issuedMay 15, 2008
Last updated in NPPESAug 14, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XODP-100116ID

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 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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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