Evesham Eye Associates, Inc.
NPI 1619987062ActiveOrganization· Optometrist· Marlton, NJ
Optometrist in Marlton, New Jersey, registered in NPPES in August 2006. The authorized official on file is Albert J. Staab, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619987062 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Apr 21, 2021 |
| Certified by provider | Apr 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 27OA00598300 | NJ |
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 (NJ) |
|---|
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