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NPI 1154449106ActiveOrganization· Optometrist· Staten Island, NY

Optometrist in Staten Island, New York, registered in NPPES in March 2007. The authorized official on file is Michelle Ericksen, Assistant.

Overview

NPI1154449106
StatusActive
Entity typeOrganization
NPI issuedMar 27, 2007
Last updated in NPPESJan 18, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X3664NY

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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