Eye Society Boutique LLC
NPI 1124744438ActiveOrganization· Optometrist· Sicklerville, NJ
Optometrist in Sicklerville, New Jersey, registered in NPPES in October 2022. The authorized official on file is Gaithri Ramanathan, O.D., F.A.A.O, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124744438 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2022 |
| Last updated in NPPES | Oct 18, 2022 |
| Certified by provider | Oct 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 (NJ) |
|---|
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