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Look New Canaan LLC

NPI 1528749777ActiveOrganization· Optometrist· New Canaan, CT

Optometrist in New Canaan, Connecticut, registered in NPPES in July 2023. The authorized official on file is Gus Ellison, Coo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1528749777
StatusActive
Entity typeOrganization
NPI issuedJul 31, 2023
Last updated in NPPESOct 9, 2024
Certified by providerOct 9, 2024

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)Enrolled Part B Supplier - Clinic/Group Practice (CT)

Medicare sources and data years

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