Vintage Optical LLC
NPI 1700277803ActiveOrganization· Technician/Technologist, Optician· Silverdale, WA
Technician/Technologist, Optician in Silverdale, Washington, registered in NPPES in February 2015. The authorized official on file is Douglas Fairbanks, LDO, Manager/Member. Enrolled in Medicare as dme supplier - optician.
Overview
| NPI | 1700277803 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 10, 2015 |
| Last updated in NPPES | Feb 11, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | — | — |
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 DME Supplier - Optician (WA) |
|---|
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