Bolt Eye Group-Canton LLC
NPI 1518693878ActiveOrganization· Optometrist· Canton, GA
Optometrist in Canton, Georgia, registered in NPPES in July 2022. The authorized official on file is Susan Reimbold, O.D., Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518693878 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2022 |
| Last updated in NPPES | Jul 18, 2023 |
| Certified by provider | Jul 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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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