Vita Park Eye Associates, SC
NPI 1154418051ActiveOrganization· Ophthalmology· Beaver Dam, WI
Ophthalmology in Beaver Dam, Wisconsin, registered in NPPES in October 2006. The authorized official on file is Thomas A. Castillo, DO, Corporate Officer.
Overview
| NPI | 1154418051 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | Apr 21, 2021 |
| Certified by provider | Apr 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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