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Midline Vision Clinics SC

NPI 1114157427ActiveOrganization· Optometrist· Madison, WI

Optometrist in Madison, Wisconsin, registered in NPPES in July 2009. The authorized official on file is Jeremy Michael Goetsch, O.D., Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1114157427
StatusActive
Entity typeOrganization
NPI issuedJul 21, 2009
Last updated in NPPESJul 12, 2021
Certified by providerJul 12, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X3146-35WI

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 (WI)

Medicare sources and data years

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