Jeffrey S Porter Od PC
NPI 1356525489ActiveOrganization· Optometrist· Crystal Lake, IL
Optometrist in Crystal Lake, Illinois, registered in NPPES in December 2007. The authorized official on file is Jeffrey Scott Porter, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356525489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2007 |
| Last updated in NPPES | Aug 20, 2020 |
| Certified by provider | Aug 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 04608991 | IL |
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 Part B Supplier - Clinic/Group Practice (IL) |
|---|
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