A Chance To Grow, Inc.
NPI 1720347875ActiveOrganization· Optometrist· Minneapolis, MN
Optometrist in Minneapolis, Minnesota, registered in NPPES in May 2012. The authorized official on file is Erica Dickerson, M.A. CCC/SLP, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720347875 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2012 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2605 | MN |
| Optometrist, Vision Therapy | 152WV0400X | 2605 | MN |
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 (MN) |
|---|
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