Dean Retail Services, Inc.
NPI 1124450416ActiveOrganization· Technician/Technologist, Optician· Waunakee, WI
Technician/Technologist, Optician in Waunakee, Wisconsin, registered in NPPES in August 2013. The authorized official on file is Amy J. Grinnell, Vice President Finance. Enrolled in Medicare as dme supplier - optician.
Overview
| NPI | 1124450416 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2013 |
| Last updated in NPPES | Aug 3, 2020 |
| Certified by provider | Aug 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | — | WI |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | WI |
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 DME Supplier - Optician (WI) |
|---|