Simon Vincenzo Guzman, LDO
NPI 1790509644ActiveIndividual· Technician/Technologist, Optician· Athens, GA
Technician/Technologist, Optician (LDO) in Athens, Georgia, licensed in GA, with an NPI issued in November 2024.
Overview
| NPI | 1790509644 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LDO |
| Sole proprietor | No |
| NPI issued | Nov 7, 2024 |
| Last updated in NPPES | Nov 7, 2024 |
| Certified by provider | Nov 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | LDO003009 | GA |
| Technician/Technologist, Contact Lens | 156FC0800X | LDO003009 | GA |
| Technician/Technologist, Ophthalmic | 156FX1100X | — | — |
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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