Northeast Family Eyecare, LLC
NPI 1275103731ActiveOrganization· Optometrist· Fort Wayne, IN
Optometrist in Fort Wayne, Indiana, registered in NPPES in June 2021. The authorized official on file is Kathryn Zachman, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275103731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2021 |
| Last updated in NPPES | Jun 30, 2021 |
| Certified by provider | Jun 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 (IN) |
|---|
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All 152 optometrists in Fort Wayne · All optometrists in Indiana