Southlake Eye Associates, PA
NPI 1801966528ActiveOrganization· Optometrist· Southlake, TX
Optometrist in Southlake, Texas, registered in NPPES in November 2006. The authorized official on file is Gregory B. Kloesel, O.D., President Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801966528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2006 |
| Last updated in NPPES | Jun 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4107TG | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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