Andersen Eye Prosthetics LLC
NPI 1518232040ActiveOrganization· Technician/Technologist, Ocularist· Grand Rapids, MI
Technician/Technologist, Ocularist in Grand Rapids, Michigan, registered in NPPES in March 2012. The authorized official on file is Alicia O'Connor, Ceo. Enrolled in Medicare as dme supplier - ocularist.
Overview
| NPI | 1518232040 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2012 |
| Last updated in NPPES | Mar 5, 2024 |
| Certified by provider | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Ocularist Primary | 156FX1700X | 5001000027 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Ocularist (MI) |
|---|