Mark Takesuye, Od, LLC
NPI 1811457179ActiveOrganization· Optometrist, Vision Therapy· Chicago, IL
Optometrist, Vision Therapy in Chicago, Illinois, registered in NPPES in March 2019. The authorized official on file is Mark Takesuye, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811457179 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2019 |
| Last updated in NPPES | Mar 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | — | — |
| Optometrist | 152W00000X | — | — |
| Optometrist, Corneal and Contact Management | 152WC0802X | — | — |
| Optometrist, Pediatrics | 152WP0200X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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