Eye Boutique, LLC
NPI 1114144276ActiveOrganization· Optometrist· New Berlin, WI
Optometrist in New Berlin, Wisconsin, registered in NPPES in April 2007, part of Luxottica of America Inc. The authorized official on file is Darren Thomas Horndasch, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114144276 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Luxottica of America Inc |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Aug 4, 2026 |
| Certified by provider | Aug 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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