Amj Optometric Services PSC
NPI 1659635209ActiveOrganization· Optometrist· Mankato, MN
Optometrist in Mankato, Minnesota, registered in NPPES in June 2012. The authorized official on file is Angela Michelle Johnson, OD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659635209 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2012 |
| Last updated in NPPES | Mar 27, 2024 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3175 | MN |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | 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) |
|---|
Other Optometrist providers in Mankato
- 1225116932
- 1821129263
- 1720167273
- 1316974967
- 1790149003
- 1851473920
- 1205857042
- 1891862231
- 1477632057
- 1447586987
- 1376049031
- 1932180312