Innovative Vision LLC
NPI 1912187402ActiveOrganization· Optometrist· Montgomery, OH
Optometrist in Montgomery, Ohio, registered in NPPES in November 2007. The authorized official on file is Kevin Corcoran, OD, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1912187402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2007 |
| Last updated in NPPES | Jun 5, 2024 |
| Certified by provider | Jun 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 5396 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (OH); Part B Supplier - Clinic/Group Practice (OH) |
|---|
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