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Juckett Eye Care Center Ltd

NPI 1881965523ActiveOrganization· Optometrist· Park Ridge, IL

Optometrist in Park Ridge, Illinois, registered in NPPES in January 2012. The authorized official on file is Robert Shedd Juckett, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1881965523
StatusActive
Entity typeOrganization
NPI issuedJan 25, 2012
Last updated in NPPESFeb 20, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X046007733IL

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 (IL)

Medicare sources and data years

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