Antigo Vision Clinic SC
NPI 1295915460ActiveOrganization· Optometrist· Antigo, WI
Optometrist in Antigo, Wisconsin, registered in NPPES in November 2007. The authorized official on file is Richard Arthur Kjome, OD, President.
Overview
| NPI | 1295915460 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2007 |
| Last updated in NPPES | Aug 26, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1477-35 | WI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Antigo
- 1457459836
- 1689382079
- 1083512446
- 1205992088