Community Eyecare Inc
NPI 1548457757ActiveOrganization· Optometrist· Brillion, WI
Optometrist in Brillion, Wisconsin, registered in NPPES in October 2007. The authorized official on file is Charles J. Burgess, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548457757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2007 |
| Last updated in NPPES | May 15, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2676 | WI |
| Optometrist | 152W00000X | 2869 | WI |
| Optometrist, Corneal and Contact Management | 152WC0802X | 2676 | WI |
| Optometrist, Corneal and Contact Management | 152WC0802X | 2869 | WI |
| Optometrist, Low Vision Rehabilitation | 152WL0500X | 2676 | WI |
| Optometrist, Pediatrics | 152WP0200X | 2676 | WI |
| Optometrist, Pediatrics | 152WP0200X | 2869 | WI |
| Optometrist, Sports Vision | 152WS0006X | 2676 | WI |
| Optometrist, Sports Vision | 152WS0006X | 2869 | WI |
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 Part B Supplier - Clinic/Group Practice (WI) |
|---|
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