Beaverdale Eye PC
NPI 1265832208ActiveOrganization· Optometrist· Des Moines, IA
Optometrist in Des Moines, Iowa, registered in NPPES in August 2014. The authorized official on file is Blaine R. Brunsen, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265832208 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2014 |
| Last updated in NPPES | Aug 27, 2014 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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