Caledonia Vision Center, PLC
NPI 1689024242ActiveOrganization· Optometrist· Caledonia, MI
Optometrist in Caledonia, Michigan, registered in NPPES in June 2016. The authorized official on file is Jennifer Nichols, OD, Optometrist, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689024242 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2016 |
| Last updated in NPPES | Aug 19, 2024 |
| Certified by provider | Aug 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901004888 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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