Cedar Run Eye Center, PLLC
NPI 1518029909ActiveOrganization· Ophthalmology· Traverse City, MI
Ophthalmology in Traverse City, Michigan, registered in NPPES in December 2006. The authorized official on file is Timothy B. Hanley, M.D., Owner.
Overview
| NPI | 1518029909 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | May 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 4301048021 | MI |
| Optometrist | 152W00000X | 4901003094 | MI |
| Optometrist | 152W00000X | 4901003086 | MI |
| Optometrist | 152W00000X | 4901004107 | MI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4301048021 | MI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Ophthalmology providers in Traverse City
- 1467653246
- 1265426514
- 1164552972
- 1801998182
- 1316009368
- 1225616279
- 1740792928
- 1699750356
- 1760584056
- 1265851083
- 1821087560
- 1144214180