Elemental Eyecare, PC
NPI 1205078284ActiveOrganization· Optometrist· Bend, OR
Optometrist in Bend, Oregon, registered in NPPES in April 2009. The authorized official on file is Gabrielle Warren Marshall, O.D., Owner.
Overview
| NPI | 1205078284 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2009 |
| Last updated in NPPES | Aug 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2635 ATI | OR |
| Optometrist, Pediatrics | 152WP0200X | 2635 ATI | OR |
| Optometrist, Vision Therapy | 152WV0400X | 2635 ATI | OR |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
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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