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Grand Island Optical PC

NPI 1942520614ActiveOrganization· Optometrist· Aurora, NE

Optometrist in Aurora, Nebraska, registered in NPPES in June 2010. The authorized official on file is Rene Dawn Ketteler, Business Manager. Enrolled in Medicare as dme supplier - physician - optometrist.

Overview

NPI1942520614
StatusActive
Entity typeOrganization
NPI issuedJun 4, 2010
Last updated in NPPESOct 7, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Optometrist (NE)

Medicare sources and data years

Other optometrists in Aurora

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