Alloplastic Reconstruction
NPI 1598049744ActiveOrganization· Technician/Technologist, Ocularist· Little Rock, AR
Technician/Technologist, Ocularist in Little Rock, Arkansas, registered in NPPES in October 2011. The authorized official on file is Michael Kaczkowski, President. Enrolled in Medicare as dme supplier - ocularist and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1598049744 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2011 |
| Last updated in NPPES | Sep 26, 2018 |
Specialties and licenses
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 DME Supplier - Ocularist (AR); Part B Supplier - Mass Immunization (Roster Biller Only) (AR) |
|---|
Other Technician/Technologist, Ocularist providers in Little Rock
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