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2020 Eyedr

NPI 1942754700ActiveOrganization· Optometrist· Southlake, TX

Optometrist in Southlake, Texas, registered in NPPES in August 2016. The authorized official on file is Manoj Abraham, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1942754700
StatusActive
Entity typeOrganization
NPI issuedAug 10, 2016
Last updated in NPPESAug 10, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X8563TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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