Advanced Eyecare Center, LLC
NPI 1174552376ActiveOrganization· Optometrist· Green Bay, WI
Optometrist in Green Bay, Wisconsin, registered in NPPES in July 2006. The authorized official on file is Candice Madaski, Billing/Credentialing Mngr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174552376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2006 |
| Last updated in NPPES | Dec 3, 2020 |
| Certified by provider | Dec 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1957 | WI |
| Optometrist | 152W00000X | 2070 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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