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Brooke Plaza Optical, Inc.

NPI 1467620708ActiveOrganization· Optometrist· Oceanside, NY

Optometrist in Oceanside, New York, registered in NPPES in February 2008. The authorized official on file is Richard Bohn, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1467620708
StatusActive
Entity typeOrganization
NPI issuedFeb 20, 2008
Last updated in NPPESMay 19, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XVUT2830-1NY

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 Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

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