Sierra Vista Vision
NPI 1417298464ActiveOrganization· Optometrist· Sierra Vista, AZ
Optometrist in Sierra Vista, Arizona, registered in NPPES in March 2013. The authorized official on file is Spencer Ray, O.D., Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417298464 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2013 |
| Last updated in NPPES | May 10, 2021 |
| Certified by provider | May 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1701 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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