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Family First Vision Care Indiana LLC

NPI 1497125017ActiveOrganization· Optometrist· Fort Wayne, IN

Optometrist in Fort Wayne, Indiana, registered in NPPES in September 2015. The authorized official on file is Nicole Jandernal, Credentialing Manager.

Overview

NPI1497125017
StatusActive
Entity typeOrganization
NPI issuedSep 25, 2015
Last updated in NPPESApr 28, 2023
Certified by providerApr 28, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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