Justin T Abo O D A Professional Corporation
NPI 1588771380ActiveOrganization· Optometrist· Rancho Cucamonga, CA
Optometrist in Rancho Cucamonga, California, registered in NPPES in August 2006. The authorized official on file is Justin Abo, O.D., Optometrist President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588771380 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2006 |
| Last updated in NPPES | Jun 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 11100T | CA |
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 (CA) |
|---|
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