South East Eyecare
NPI 1861573198ActiveOrganization· Optometrist· Owens Cross Roads, AL
Optometrist in Owens Cross Roads, Alabama, registered in NPPES in October 2006. The authorized official on file is Dewanna K. Staup, O.D., General Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861573198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 (AL) |
|---|
Other Optometrist providers in Owens Cross Roads
- 1285117226
- 1518825231
- 1013281104
- 1568454601
- 1669441291
- 1962439588
- 1225067697
- 1316936487