Wyckoff Optical, Inc.
NPI 1568904548ActiveOrganization· Optometrist· Wyckoff, NJ
Optometrist in Wyckoff, New Jersey, registered in NPPES in November 2016. The authorized official on file is Christine Fulmer, Medical Billing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568904548 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2016 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 27OA00544400 | NJ |
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 (NJ) |
|---|
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