Promenade Eye Care, LLC
NPI 1225457716ActiveOrganization· Optometrist· Coconut Creek, FL
Optometrist in Coconut Creek, Florida, registered in NPPES in April 2014. The authorized official on file is Anisa Kristollari, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225457716 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2014 |
| Last updated in NPPES | Apr 11, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPC 4633 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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