Envision Eyecare LLC
NPI 1407246010ActiveOrganization· Optometrist· Lithia Springs, GA
Optometrist in Lithia Springs, Georgia, registered in NPPES in February 2015. The authorized official on file is Ratidzo Bonnie Macharaga, O.D, Owner/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407246010 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2015 |
| Last updated in NPPES | Nov 16, 2023 |
| Certified by provider | Nov 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPT002829 | GA |
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 (GA) |
|---|
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