Kenneth L. Stack Optometrist, PC
NPI 1760669485ActiveOrganization· Optometrist· Albany, NY
Optometrist in Albany, New York, registered in NPPES in January 2008. The authorized official on file is Kenneth L. Stack, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760669485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2008 |
| Last updated in NPPES | Feb 25, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TUV004607-1 | NY |
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 (NY) |
|---|
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