Interstate Optical Lbr Inc
NPI 1114965126ActiveOrganization· Technician/Technologist, Optician· Mokena, IL
Technician/Technologist, Optician in Mokena, Illinois, registered in NPPES in June 2006. The authorized official on file is Gary Lee Stephens, Optician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114965126 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Oct 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | — | — |
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) |
|---|