Optimized Eyecare, LLC
NPI 1366080632ActiveOrganization· Optometrist· Ellisville, MO
Optometrist in Ellisville, Missouri, registered in NPPES in December 2019. The authorized official on file is Matthew Kelly, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366080632 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2019 |
| Last updated in NPPES | Dec 17, 2019 |
| Certified by provider | Dec 17, 2019 |
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 (MO) |
|---|
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