Mandy O.D., P.C.
NPI 1710166996ActiveOrganization· Optometrist· Kearney, NE
Optometrist in Kearney, Nebraska, registered in NPPES in October 2007. The authorized official on file is Mandy Jane Johnson, Owner/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710166996 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2007 |
| Last updated in NPPES | Nov 12, 2021 |
| Certified by provider | Nov 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1220 | NE |
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 (NE) |
|---|
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