Private Diagnostic Clinic, PLLC
NPI 1548584717ActiveOrganization· Ophthalmology· Raleigh, NC
Ophthalmology in Raleigh, North Carolina, registered in NPPES in March 2010. The authorized official on file is Christopher Thomas Frederick, Cfo.
Overview
| NPI | 1548584717 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2010 |
| Last updated in NPPES | Jul 11, 2022 |
| Certified by provider | Jul 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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