Eye Clinic of Sandpoint PA
NPI 1215945431ActiveOrganization· Ophthalmology· Sandpoint, ID
Ophthalmology in Sandpoint, Idaho, registered in NPPES in August 2006. The authorized official on file is Jason M. Petersen, OD, Physician-Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1215945431 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2006 |
| Last updated in NPPES | Jun 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| 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) | Enrolled DME Supplier - Physician - Optometrist (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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