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Optical Boutique and Eyecare

NPI 1407472376ActiveOrganization· Optometrist· Desoto, TX

Optometrist in Desoto, Texas, registered in NPPES in June 2020. The authorized official on file is Danielle Gloster, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1407472376
StatusActive
Entity typeOrganization
NPI issuedJun 17, 2020
Last updated in NPPESNov 9, 2020
Certified by providerNov 9, 2020

Specialties and licenses

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Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other Optometrist providers in Desoto

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