Family Vision Care of Ponca City
NPI 1902000904ActiveOrganization· Optometrist· Ponca City, OK
Optometrist in Ponca City, Oklahoma, registered in NPPES in June 2007. The authorized official on file is Kelly C. Campbell, O.D., Optometrist Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1902000904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2007 |
| Last updated in NPPES | Dec 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OK2144 | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | OK2144 | OK |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | OK2144 | OK |
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 DME Supplier - Physician - Optometrist (OK); Part B Supplier - Clinic/Group Practice (OK) |
|---|
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