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Jerry Northcutt, PLLC

NPI 1881686699ActiveOrganization· Optometrist· Ennis, TX

Optometrist in Ennis, Texas, registered in NPPES in August 2005. The authorized official on file is Jerry Lee Northcutt, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1881686699
StatusActive
Entity typeOrganization
NPI issuedAug 17, 2005
Last updated in NPPESMar 19, 2026
Certified by providerMar 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X5150TGTX

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 (TX)

Medicare sources and data years

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