Tim A Bengtson O.D., P.C.
NPI 1285646661ActiveOrganization· Optometrist· Macomb, IL
Optometrist in Macomb, Illinois, registered in NPPES in August 2006. The authorized official on file is Tim Bengtson, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1285646661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2006 |
| Last updated in NPPES | May 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046007904 | IL |
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 DME Supplier - Physician - Optometrist (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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