Eye Center of Brookings, LLC
NPI 1912010596ActiveOrganization· Optometrist· Brookings, OR
Optometrist in Brookings, Oregon, registered in NPPES in August 2006. The authorized official on file is Douglas John Walker, OD, Member. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1912010596 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 16, 2006 |
| Last updated in NPPES | Jun 2, 2022 |
| Certified by provider | Jun 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OR 2740 ATI | OR |
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 (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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