Optometric Eyecare Inc.
NPI 1609041342ActiveOrganization· Optometrist· Olney, IL
Optometrist in Olney, Illinois, registered in NPPES in April 2008. The authorized official on file is Clark E. Deshon, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609041342 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2008 |
| Last updated in NPPES | Aug 31, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046-008793 | IL |
| Clinic/Center, Health Services | 261QH0100X | 3840-6969 | IL |
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 Part B Supplier - Clinic/Group Practice (IL) |
|---|
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