Grand Lake Eyecare LLC
NPI 1548301690ActiveOrganization· Optometrist· Celina, OH
Optometrist in Celina, Ohio, registered in NPPES in February 2007. The authorized official on file is Kenneth J. Sandker, OD, Partner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1548301690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2007 |
| Last updated in NPPES | Feb 5, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (OH); Part B Supplier - Clinic/Group Practice (OH) |
|---|
Other optometrists in Celina
- 1093776205
- 1174918734
- 1205683315
- 1336437417
- 1578247912
- 1861747503
- 1962816199
- 1043888035
- 1821343195
- 1740268150
- 1245528090
- 1376541714