Anderson Vision
NPI 1215759055ActiveOrganization· Optometrist· Cliffside Park, NJ
Optometrist in Cliffside Park, New Jersey, registered in NPPES in October 2024. The authorized official on file is Marianna Tereschenko, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215759055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2024 |
| Last updated in NPPES | Oct 31, 2024 |
| Certified by provider | Oct 31, 2024 |
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 Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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