Academy Contact Lens Clinic
NPI 1639202559ActiveOrganization· Optometrist· New Brighton, MN
Optometrist in New Brighton, Minnesota, registered in NPPES in March 2007. The authorized official on file is John Mark Cavanagh, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639202559 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2007 |
| Last updated in NPPES | Mar 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2236 | MN |
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 (MN) |
|---|
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