Supreme Eye Care LLC
NPI 1255097002ActiveOrganization· Optometrist· Lanham, MD
Optometrist in Lanham, Maryland, registered in NPPES in November 2021. The authorized official on file is Olufunso Ibrahim, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255097002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2021 |
| Last updated in NPPES | Jul 17, 2024 |
| Certified by provider | Jul 17, 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 (DC) |
|---|
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