Advanced Eyecare of Blackfoot PLLC
NPI 1568610574ActiveOrganization· Optometrist· Blackfoot, ID
Optometrist in Blackfoot, Idaho, registered in NPPES in September 2008. The authorized official on file is Jerry Carlson, O.D., Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568610574 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2008 |
| Last updated in NPPES | Jul 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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