Leiv M Takle MD PC
NPI 1568665404ActiveOrganization· Ophthalmology· Griffin, GA
Ophthalmology in Griffin, Georgia, registered in NPPES in June 2007. The authorized official on file is Leiv M. Takle, MD, Owner / Ceo. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1568665404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Oct 9, 2026 |
| Certified by provider | Oct 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Optometrist | 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 DME Supplier - Physician - Ophthalmology (GA); Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Ophthalmology providers in Griffin
- 1588259758
- 1972895548
- 1447201074
- 1609807445