417 Eyes A Series LLC
NPI 1386036721ActiveOrganization· Optometrist· Marshfield, MO
Optometrist in Marshfield, Missouri, registered in NPPES in February 2015. The authorized official on file is Daniel E. Boone, O.D., Owner/ Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386036721 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2015 |
| Last updated in NPPES | Jan 16, 2025 |
| Certified by provider | Jan 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | T03007 | MO |
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 (MO) |
|---|
Other Optometrist providers in Marshfield
- 1659509131
- 1528597861
- 1760867808