Blue Water Eye Care Associates PC
NPI 1104081819ActiveOrganization· Ophthalmology· Port Huron, MI
Ophthalmology in Port Huron, Michigan, registered in NPPES in July 2008. The authorized official on file is Heather Ledbetter, Billing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104081819 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2008 |
| Last updated in NPPES | Sep 17, 2026 |
| Certified by provider | Sep 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (MI) |
|---|
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