Distinctive Eyewear, Inc.
NPI 1336179597ActiveOrganization· Optometrist· Saint Clair, MI
Optometrist in Saint Clair, Michigan, registered in NPPES in July 2006. The authorized official on file is Elizabeth Ann Moore, CPOT, President. Enrolled in Medicare as dme supplier - optician and part b supplier - clinic/group practice.
Overview
| NPI | 1336179597 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 4, 2006 |
| Last updated in NPPES | Apr 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901002751 | MI |
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 - Optician (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other optometrists in Saint Clair
- 1285813162
- 1255075693
- 1477602035