Optical Boutique Family Eyecare
NPI 1891569711ActiveOrganization· Optometrist· Germantown, TN
Optometrist in Germantown, Tennessee, registered in NPPES in November 2023. The authorized official on file is Brister Shum, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891569711 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2023 |
| Last updated in NPPES | Nov 10, 2023 |
| Certified by provider | Nov 10, 2023 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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