Beloit Family Eye Care S.C.
NPI 1780976647ActiveOrganization· Optometrist· Beloit, WI
Optometrist in Beloit, Wisconsin, registered in NPPES in May 2011. The authorized official on file is Douglas Edward Kelley, OD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780976647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2011 |
| Last updated in NPPES | Aug 17, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3136-035 | 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 Part B Supplier - Clinic/Group Practice (WI) |
|---|
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