Dr. Daniel R. Obermark Optometry PC
NPI 1205007614ActiveOrganization· Optometrist· Poplar Bluff, MO
Optometrist in Poplar Bluff, Missouri, registered in NPPES in March 2008. The authorized official on file is Daniel Robert Obermark, O.D., Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205007614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2008 |
| Last updated in NPPES | Oct 25, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TO2935 | MO |
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 Part B Supplier - Clinic/Group Practice (MO) |
|---|
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