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South County Eye Care

NPI 1801981899ActiveOrganization· Preferred Provider Organization· St Louis, MO

Preferred Provider Organization in St Louis, Missouri, registered in NPPES in October 2006. The authorized official on file is Brandi Nicole Polk, Admin.

Overview

NPI1801981899
StatusActive
Entity typeOrganization
NPI issuedOct 4, 2006
Last updated in NPPESFeb 19, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000XMDR9N88MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years