Eye Doctors Northwest PLLC
NPI 1124420526ActiveOrganization· Optometrist· Covington, WA
Optometrist in Covington, Washington, registered in NPPES in September 2014. The authorized official on file is Grady Hollenbeck, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124420526 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2014 |
| Last updated in NPPES | Sep 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3816 | WA |
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 (WA) |
|---|
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