Jesse S Hicks Od PA
NPI 1376686998ActiveOrganization· Optometrist· North Port, FL
Optometrist in North Port, Florida, registered in NPPES in February 2007. The authorized official on file is Annie Hicks, LDO, Chief Financial Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376686998 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2007 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Apr 2, 2025 |
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 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 (FL) |
|---|
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