Allen Butler Od PA
NPI 1174030225ActiveOrganization· Optometrist· Jacksonville, NC
Optometrist in Jacksonville, North Carolina, registered in NPPES in January 2018. The authorized official on file is Carol Jenkins Cottle, Office Manager. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1174030225 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2018 |
| Last updated in NPPES | Jan 10, 2018 |
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) | Enrolled DME Supplier - Physician - General Practice (NC); Part B Supplier - Clinic/Group Practice (NC) |
|---|
Other Optometrist providers in Jacksonville
- 1952571614
- 1003861212
- 1396798864
- 1447540356
- 1770624249
- 1578867057
- 1356628283
- 1174384036
- 1710860283
- 1508800178
- 1396904132
- 1427016435