Optometric Eye Clinic, P.A.
NPI 1295030989ActiveOrganization· Optometrist· Mooresville, NC
Optometrist in Mooresville, North Carolina, registered in NPPES in January 2011. The authorized official on file is Peggy Lynn Wike, O.D., Optometrist. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1295030989 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2011 |
| Last updated in NPPES | Sep 30, 2024 |
| Certified by provider | Sep 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1130 | NC |
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 DME Supplier - Physician - Optometrist (NC); Part B Supplier - Clinic/Group Practice (NC) |
|---|
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