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The Ridge Vision Clinic PLLC

NPI 1821951062ActiveOrganization· Optometrist· Wynne, AR

Optometrist in Wynne, Arkansas, registered in NPPES in December 2025. The authorized official on file is Kurt Brawner, OD, Optometrist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1821951062
StatusActive
Entity typeOrganization
NPI issuedDec 4, 2025
Last updated in NPPESMay 21, 2026
Certified by providerMay 21, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

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)Enrolled Part B Supplier - Clinic/Group Practice (AR)

Medicare sources and data years

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