Ophthalmology of Montclair Limited Liability Company
NPI 1912047713ActiveOrganization· Ophthalmology· Montclair, NJ
Ophthalmology in Montclair, New Jersey, registered in NPPES in February 2007. The authorized official on file is Kathryn Phyllis Childs, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912047713 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2007 |
| Last updated in NPPES | Aug 27, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 25MA07491800 | NJ |
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 (NJ) |
|---|
Other Ophthalmology providers in Montclair
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