Pinhkeo Southaphanh O D Inc
NPI 1104371343ActiveOrganization· Optometrist· Lompoc, CA
Optometrist in Lompoc, California, registered in NPPES in August 2016. The authorized official on file is Pinhkeo Southaphanh, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104371343 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2016 |
| Last updated in NPPES | Jul 22, 2024 |
| Certified by provider | Jul 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 12359TLG | CA |
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 (CA) |
|---|
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