Eyesguys LLC
NPI 1104195825ActiveOrganization· Optometrist· Edmond, OK
Optometrist in Edmond, Oklahoma, registered in NPPES in December 2011. The authorized official on file is Tyler W. Glaze, OD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104195825 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2011 |
| Last updated in NPPES | Jul 31, 2024 |
| Certified by provider | Jul 31, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2653 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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