1162 Military Trail LLC
NPI 1629489406ActiveOrganization· Optometrist· Miami, FL
Optometrist in Miami, Florida, registered in NPPES in May 2014. The authorized official on file is Galen Grayson, M.D., Medical Director/Owner.
Overview
| NPI | 1629489406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2014 |
| Last updated in NPPES | May 14, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Miami
- 1184883662
- 1689821969
- 1194022491
- 1780876755
- 1033519186
- 1992861165
- 1376915066
- 1316509706
- 1962538249
- 1629300223
- 1811866817
- 1619115714