Advanced Eye Care SC
NPI 1831154947ActiveOrganization· Ophthalmology· New Lenox, IL
Ophthalmology in New Lenox, Illinois, registered in NPPES in April 2006. The authorized official on file is Timothy A. Kisla, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831154947 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2006 |
| Last updated in NPPES | Mar 19, 2024 |
| Certified by provider | Mar 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 036097974 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
Other Ophthalmology providers in New Lenox
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