Great Lakes Retina, PLLC
NPI 1629878079ActiveOrganization· Ophthalmology· Arlington Heights, IL
Ophthalmology in Arlington Heights, Illinois, registered in NPPES in March 2025. The authorized official on file is Omar Mohamed Hassan, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629878079 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2025 |
| Last updated in NPPES | Mar 15, 2025 |
| Certified by provider | Mar 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
| Ophthalmology, Retina Specialist | 207WX0107X | — | — |
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 (IL) |
|---|
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