Eye Clinic of Wisconsin SC
NPI 1740263458ActiveOrganization· Ophthalmology· Wausau, WI
Ophthalmology in Wausau, Wisconsin, registered in NPPES in November 2005. The authorized official on file is Kimberly Goddard, Coo. Enrolled in Medicare as dme supplier - physician - ophthalmology and part b supplier - clinic/group practice.
Overview
| NPI | 1740263458 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2005 |
| Last updated in NPPES | Jan 21, 2025 |
| Certified by provider | Jan 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | WI |
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 - Ophthalmology (WI); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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