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Tei-Wake Forest Od PLLC

NPI 1134725609ActiveOrganization· Optometrist· Wake Forest, NC

Optometrist in Wake Forest, North Carolina, registered in NPPES in December 2020. The authorized official on file is Maria Guevara, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1134725609
StatusActive
Entity typeOrganization
NPI issuedDec 9, 2020
Last updated in NPPESJan 8, 2021
Certified by providerJan 8, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NC)

Medicare sources and data years

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