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Vision Source of South Ogden

NPI 1538807573ActiveOrganization· Optometrist· Ogden, UT

Optometrist in Ogden, Utah, registered in NPPES in May 2022. The authorized official on file is Ian Whipple, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1538807573
StatusActive
Entity typeOrganization
NPI issuedMay 20, 2022
Last updated in NPPESJul 12, 2022
Certified by providerJul 12, 2022

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 (UT)

Medicare sources and data years

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