20-20 Vision Place Inc
NPI 1639445703ActiveOrganization· Optometrist· Sunrise, FL
Optometrist in Sunrise, Florida, registered in NPPES in March 2012. The authorized official on file is Ralph Bourjolly, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639445703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2012 |
| Last updated in NPPES | Nov 20, 2023 |
| Certified by provider | Nov 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPC2667 | FL |
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 (FL) |
|---|
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