Premier Eyecare of Enid PLLC
NPI 1124424247ActiveOrganization· Optometrist· Enid, OK
Optometrist in Enid, Oklahoma, registered in NPPES in November 2014. The authorized official on file is Justin L. Funk, O.D., O.D. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1124424247 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2014 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2696 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (OK); Part B Supplier - Clinic/Group Practice (OK) |
|---|
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