Leo W Mack Jr MD PA
NPI 1366619611ActiveOrganization· Optometrist· Tyler, TX
Optometrist in Tyler, Texas, registered in NPPES in May 2008. The authorized official on file is Shari Lynn Williams, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366619611 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2008 |
| Last updated in NPPES | Dec 9, 2025 |
| Certified by provider | Dec 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 007870 | TX |
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 (TX) |
|---|
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