Plymouth Vision Center, Inc.
NPI 1902943822ActiveOrganization· Optometrist· Plymouth, MN
Optometrist in Plymouth, Minnesota, registered in NPPES in January 2007. The authorized official on file is Tate Herman, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902943822 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | Oct 10, 2022 |
| Certified by provider | Oct 10, 2022 |
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 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 Part B Supplier - Clinic/Group Practice (MN) |
|---|
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