Spectacle Shoppe Inc.
NPI 1588700157ActiveOrganization· Optometrist· New Brighton, MN
Optometrist in New Brighton, Minnesota, registered in NPPES in January 2007. The authorized official on file is Beth Seaton Ulrich, Authorized Official/Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588700157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | Mar 21, 2025 |
| Certified by provider | Mar 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
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 (MN) |
|---|
Other Optometrist providers in New Brighton
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