Corey H Tabbert Od PA
NPI 1447525316ActiveOrganization· Optometrist· Grand Rapids, MN
Optometrist in Grand Rapids, Minnesota, registered in NPPES in March 2012. The authorized official on file is Corey Tabbert, OD, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1447525316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 12, 2012 |
| Last updated in NPPES | Aug 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2883 | MN |
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 DME Supplier - Physician - Optometrist (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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