Broadway Vision Associates, PLC
NPI 1154441848ActiveOrganization· Optometrist· Muskogee, OK
Optometrist in Muskogee, Oklahoma, registered in NPPES in March 2007. The authorized official on file is Candace Y. Stewart, OD, Od Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1154441848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2007 |
| Last updated in NPPES | Feb 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
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 DME Supplier - Physician - Optometrist (OK); Part B Supplier - Clinic/Group Practice (OK) |
|---|
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