Wilson Polito PLLC
NPI 1710276324ActiveOrganization· Optometrist· Lewiston, ID
Optometrist in Lewiston, Idaho, registered in NPPES in April 2011. The authorized official on file is Nathan Wilson, OD, Optometrist/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710276324 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 4, 2011 |
| Last updated in NPPES | Nov 6, 2020 |
| Certified by provider | Nov 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODP-100222 | ID |
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 (ID) |
|---|
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