Glen Ellyn Family Eye Care LLC
NPI 1366043382ActiveOrganization· Optometrist· Glen Ellyn, IL
Optometrist in Glen Ellyn, Illinois, registered in NPPES in November 2020. The authorized official on file is Tom Panos, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366043382 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2020 |
| Last updated in NPPES | Nov 5, 2020 |
| Certified by provider | Nov 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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