Exclusive Eyewear No. 1, LLC
NPI 1902400609ActiveOrganization· Optometrist· Plantation, FL
Optometrist in Plantation, Florida, registered in NPPES in November 2020. The authorized official on file is Jackie Bennett, Credentialing Manager.
Overview
| NPI | 1902400609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2020 |
| Last updated in NPPES | Feb 19, 2021 |
| Certified by provider | Feb 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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