Brainerd Eyecare Center, PA
NPI 1942351002ActiveOrganization· Optometrist· Brainerd, MN
Optometrist in Brainerd, Minnesota, registered in NPPES in January 2007. The authorized official on file is Anne Archibald, Cfo. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1942351002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2007 |
| Last updated in NPPES | Jan 16, 2023 |
| Certified by provider | Jan 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Technician/Technologist, Optician | 156FX1800X | — | — |
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 (MN); Part B Supplier - Clinic/Group Practice (MN) |
|---|
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