Quaker Lane Optometry LLC
NPI 1639882004ActiveOrganization· Optometrist· West Warwick, RI
Optometrist in West Warwick, Rhode Island, registered in NPPES in January 2023. The authorized official on file is Brittany Hazelton, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639882004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2023 |
| Last updated in NPPES | Apr 7, 2026 |
| Certified by provider | Apr 7, 2026 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
Other Optometrist providers in West Warwick
- 1194043000
- 1700986478
- 1003393273
- 1992033831