Northeast Georgia Vision Care LLC
NPI 1487641858ActiveOrganization· Optometrist· Cornelia, GA
Optometrist in Cornelia, Georgia, registered in NPPES in September 2005. The authorized official on file is Holton S. King, OD, President. Enrolled in Medicare as dme supplier - physician - optometrist.
Overview
| NPI | 1487641858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2005 |
| Last updated in NPPES | Sep 25, 2023 |
| Certified by provider | Sep 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1106 | GA |
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 (GA) |
|---|
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