Bristol Bay Area Health Corporation
NPI 1154551588ActiveOrganization· Optometrist· Dillingham, AK
Optometrist in Dillingham, Alaska, registered in NPPES in July 2009, part of Bristol Bay Area Health Corporation. The authorized official on file is Robert J. Clark, Chief Executive Officer.
Overview
| NPI | 1154551588 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Bristol Bay Area Health Corporation |
| NPI issued | Jul 20, 2009 |
| Last updated in NPPES | Nov 9, 2023 |
| Certified by provider | Nov 9, 2023 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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