Kreslyn B Odum & Associates, PC
NPI 1508079179ActiveOrganization· Optometrist· Jesup, GA
Optometrist in Jesup, Georgia, registered in NPPES in May 2007. The authorized official on file is Kreslyn B. Odum, OD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508079179 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2007 |
| Last updated in NPPES | Jan 15, 2020 |
| Certified by provider | Jan 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2242 | 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 Part B Supplier - Clinic/Group Practice (GA) |
|---|
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