Blanco Kays Corgiat Eyecare, LLC
NPI 1215204169ActiveOrganization· Optometrist· Spring Valley, IL
Optometrist in Spring Valley, Illinois, registered in NPPES in November 2011. The authorized official on file is Angela Partridge, Practice Administrator. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1215204169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2011 |
| Last updated in NPPES | Mar 23, 2021 |
| Certified by provider | Mar 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046006809 | IL |
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 - Optometrist (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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