Family Eye Care of Lake Geneva, S.C.
NPI 1144463571ActiveOrganization· Optometrist· Lake Geneva, WI
Optometrist in Lake Geneva, Wisconsin, registered in NPPES in April 2009. The authorized official on file is Jessica Dixon Heinke, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144463571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2009 |
| Last updated in NPPES | Sep 14, 2022 |
| Certified by provider | Sep 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3133-035 | WI |
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 (WI) |
|---|
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