Clear Lake Optics Corp
NPI 1679767339ActiveOrganization· Optometrist· Mason City, IA
Optometrist in Mason City, Iowa, registered in NPPES in September 2007. The authorized official on file is Mike L. Korthals, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1679767339 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2007 |
| Last updated in NPPES | Dec 14, 2023 |
| Certified by provider | Dec 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 02146 | IA |
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 DME Supplier - Physician - Optometrist (IA); Part B Supplier - Clinic/Group Practice (IA) |
|---|
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