Pecan Creek Eyecare LLC
NPI 1477301414ActiveOrganization· Optometrist· San Tan Valley, AZ
Optometrist in San Tan Valley, Arizona, registered in NPPES in May 2024. The authorized official on file is Christopher C. Carpenter, OD, Owner/Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477301414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2024 |
| Last updated in NPPES | Jan 26, 2026 |
| Certified by provider | Jan 26, 2026 |
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 (AZ) |
|---|
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