Odessa Vision Center PLLC
NPI 1578747275ActiveOrganization· Optometrist· Odessa, TX
Optometrist in Odessa, Texas, registered in NPPES in December 2007. The authorized official on file is Justin Jackman, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578747275 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2007 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2713-TG | TX |
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 (TX) |
|---|
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