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Revision Eye Care, LLC

NPI 1427563063ActiveOrganization· Optometrist· Wisconsin Rapids, WI

Optometrist in Wisconsin Rapids, Wisconsin, registered in NPPES in December 2017. The authorized official on file is Peter Richard Falk, OD, Optometrist/Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.

Overview

NPI1427563063
StatusActive
Entity typeOrganization
NPI issuedDec 5, 2017
Last updated in NPPESDec 20, 2022
Certified by providerDec 20, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

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 DME Supplier - Physician - Optometrist (WI); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

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