Professional Eyecare Centers, PLLC
NPI 1699866244ActiveOrganization· Optometrist· Jamestown, ND
Optometrist in Jamestown, North Dakota, registered in NPPES in September 2006. The authorized official on file is Staci Jo Rudolph, Accounts Specialist. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1699866244 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Jun 14, 2021 |
| Certified by provider | Jun 14, 2021 |
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 DME Supplier - Physician - Optometrist (ND); Part B Supplier - Clinic/Group Practice (ND) |
|---|
Other Optometrist providers in Jamestown
- 1912052234
- 1639462351
- 1457748006
- 1013008655
- 1306937941
- 1679858724
- 1780146050
- 1285725820
- 1134161706
- 1114951951
- 1194755249
- 1194607432