Madison Eye Care of Port Clinton LLC
NPI 1427748243ActiveOrganization· Optometrist· Port Clinton, OH
Optometrist in Port Clinton, Ohio, registered in NPPES in May 2023. The authorized official on file is Kyle Koubek, OD, Doctor/Part Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427748243 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2023 |
| Last updated in NPPES | May 15, 2023 |
| Certified by provider | May 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other optometrists in Port Clinton
- 1629072244
- 1023027646
- 1366518045
- 1639264872
- 1114926334