Optometric Eyecare, Inc
NPI 1376789578ActiveOrganization· Optometrist· Olney, IL
Optometrist in Olney, Illinois, registered in NPPES in December 2008, part of Optometric Eyecare, Inc. The authorized official on file is Clark Edward Deshon, OD, FAAO, President. Enrolled in Medicare as dme supplier - physician - optometrist.
Overview
| NPI | 1376789578 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Optometric Eyecare, Inc |
| NPI issued | Dec 18, 2008 |
| Last updated in NPPES | Aug 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046-008793 | IL |
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 DME Supplier - Physician - Optometrist (IL) |
|---|
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