Freeport Optometric Center P C
NPI 1538151592ActiveOrganization· Optometrist· Freeport, IL
Optometrist in Freeport, Illinois, registered in NPPES in August 2005. The authorized official on file is Lavonne M. Dooley, Business Manager. Enrolled in Medicare as dme supplier - optician and part b supplier - clinic/group practice.
Overview
| NPI | 1538151592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2005 |
| Last updated in NPPES | Feb 17, 2023 |
| Certified by provider | Feb 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 46-8516 | IL |
| Optometrist | 152W00000X | 46-7729 | IL |
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 DME Supplier - Optician (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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