Idocs of Dodge City, PA
NPI 1588785786ActiveOrganization· Optometrist· Dodge City, KS
Optometrist in Dodge City, Kansas, registered in NPPES in April 2007. The authorized official on file is Jordan E. Gwaltney, O.D., Optometrist. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1588785786 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2007 |
| Last updated in NPPES | Jun 5, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1744 | KS |
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 - Optometrist (KS); Part B Supplier - Clinic/Group Practice (KS) |
|---|
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