Twin Forks Optometry, PLLC
NPI 1699155549ActiveOrganization· Optometrist· Riverhead, NY
Optometrist in Riverhead, New York, registered in NPPES in June 2015. The authorized official on file is Jessica Fulmer, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699155549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 5, 2015 |
| Last updated in NPPES | Sep 16, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 007991 | NY |
| Optometrist, Corneal and Contact Management | 152WC0802X | 007991 | NY |
| Optometrist, Pediatrics | 152WP0200X | 007991 | NY |
| Optometrist, Vision Therapy | 152WV0400X | 007991 | NY |
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 (NY) |
|---|
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