Southeast Eye Specialists, PLLC
NPI 1750981189ActiveOrganization· Ophthalmology· Soddy Daisy, TN
Ophthalmology in Soddy Daisy, Tennessee, registered in NPPES in October 2020, part of Southeast Eye Specialists, PLLC. The authorized official on file is Stacey Michelle Crudup, Chief Compliance Officer.
Overview
| NPI | 1750981189 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southeast Eye Specialists, PLLC |
| NPI issued | Oct 26, 2020 |
| Last updated in NPPES | Oct 28, 2020 |
| Certified by provider | Oct 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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