Bolt Eye Group - Lawrenceville LLC
NPI 1154169985ActiveOrganization· Optometrist· Lawrenceville, GA
Optometrist in Lawrenceville, Georgia, registered in NPPES in July 2024. The authorized official on file is Barbra Williams, Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154169985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2024 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 (GA) |
|---|
Other Optometrist providers in Lawrenceville
- 1659858991
- 1174780597
- 1750552469
- 1386089290
- 1023299575
- 1578381604
- 1487974853
- 1437346335
- 1447623665
- 1083499784
- 1417581653
- 1568247252