Eyesite-Illinois Valley, LLC
NPI 1477614329ActiveOrganization· Optometrist· Spring Valley, IL
Optometrist in Spring Valley, Illinois, registered in NPPES in December 2006. The authorized official on file is Kent Alan Kunkel, OD, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1477614329 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2006 |
| Last updated in NPPES | Dec 15, 2020 |
| Certified by provider | Dec 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046-008411 | IL |
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 (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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