Premier Vision Partners
NPI 1376213165ActiveOrganization· Optometrist· Braselton, GA
Optometrist in Braselton, Georgia, registered in NPPES in September 2021. The authorized official on file is Darrell Sorah, OD, Owner/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376213165 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2021 |
| Last updated in NPPES | Sep 14, 2021 |
| Certified by provider | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other optometrists in Braselton
- 1619594561
- 1689080996
- 1811087208