Mt Juliet Family Vision PC
NPI 1457822421ActiveOrganization· Optometrist· Mt Juliet, TN
Optometrist in Mt Juliet, Tennessee, registered in NPPES in December 2018. The authorized official on file is Kevin Michael Davis, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457822421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2018 |
| Last updated in NPPES | Apr 1, 2021 |
| Certified by provider | Mar 9, 2021 |
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 (TN) |
|---|
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