Antioch Eye Care Center, Physician & Surgeon, PLLC
NPI 1629477831ActiveOrganization· Ophthalmology· Antioch, TN
Ophthalmology in Antioch, Tennessee, registered in NPPES in August 2014. The authorized official on file is Benyamin Y. Ebrahim, MD, Ophthalmologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629477831 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2014 |
| Last updated in NPPES | May 29, 2022 |
| Certified by provider | May 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 49780 | TN |
| Optometrist | 152W00000X | — | — |
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 (TN) |
|---|
Other Ophthalmology providers in Antioch
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