Vita Park Eye Associates, SC
NPI 1548286909ActiveOrganization· Optometrist· Waupun, WI
Optometrist in Waupun, Wisconsin, registered in NPPES in July 2006, part of Vita Park Eye Associates, SC. The authorized official on file is Thomas Castillo, DO, Corporation Officer.
Overview
| NPI | 1548286909 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vita Park Eye Associates, SC |
| NPI issued | Jul 15, 2006 |
| Last updated in NPPES | Apr 21, 2021 |
| Certified by provider | Apr 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Ophthalmology | 207W00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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