Lakeside Eye Clinic Inc
NPI 1871794362ActiveOrganization· Preferred Provider Organization· Chicago, IL
Preferred Provider Organization in Chicago, Illinois, registered in NPPES in May 2007. The authorized official on file is Ernesto Carrasco, President.
Overview
| NPI | 1871794362 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | — | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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