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NPI 1164216172ActiveIndividual· Optometrist· Powell, OH
Optometrist in Powell, Ohio, trained at Ohio State University - College of Optometry (class of 2025). Enrolled in Medicare as practitioner - optometry. Alcon Vision LLC was the largest of 5 companies reporting payments in 2025, $418.73 in all, mostly food and beverage.
Overview
| NPI | 1164216172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 7, 2025 |
| Last updated in NPPES | Jun 3, 2025 |
| Certified by provider | Jun 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPT.007379 | OH |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 Practitioner - Optometry (OH) |
|---|
Education and affiliations
| Medical school | Ohio State University - College of Optometry |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Optometry |
Medical group
- Optometric Management Group LLCPowell, OH · 41 clinicians
Industry payments (Open Payments)
- 2025$418.73 · 9 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $214.47 | 4 |
| Bausch & Lomb Americas Inc. | $139.59 | 2 |
| Sun Pharmaceutical Industries Inc. | $29.78 | 1 |
| Oyster Point Pharma, Inc. | $17.63 | 1 |
| Johnson & Johnson Vision Care, Inc. | $17.26 | 1 |
What the 2025 payments were for
- Food and Beverage$418.73 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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