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NPI 1720234784ActiveOrganization· Exclusive Provider Organization· Dunkirk, MD
Exclusive Provider Organization in Dunkirk, Maryland, registered in NPPES in August 2008. The authorized official on file is Evalena W. Gray, OPTICIAN, Owner.
Overview
| NPI | 1720234784 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2008 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|