Eagan Eye Clinic LLC
NPI 1760089700ActiveOrganization· Optometrist· Waite Park, MN
Optometrist in Waite Park, Minnesota, registered in NPPES in October 2020, part of Eagan Eye Clinic LLC. The authorized official on file is Benjamin S. Chudner, OD, President.
Overview
| NPI | 1760089700 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Eagan Eye Clinic LLC |
| NPI issued | Oct 2, 2020 |
| Last updated in NPPES | Oct 2, 2020 |
| Certified by provider | Oct 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 |
|---|
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