Eye Boutique, LLC
NPI 1720236805ActiveOrganization· Optometrist· Joliet, IL
Optometrist in Joliet, Illinois, registered in NPPES in September 2008, part of Luxottica of America Inc. The authorized official on file is Darren Thomas Horndasch, President. Enrolled in Medicare as dme supplier - physician - optometrist.
Overview
| NPI | 1720236805 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Luxottica of America Inc |
| NPI issued | Sep 3, 2008 |
| Last updated in NPPES | Mar 2, 2026 |
| Certified by provider | Mar 2, 2026 |
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 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 DME Supplier - Physician - Optometrist (IL) |
|---|
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