P-Cor, LLC
NPI 1942887039ActiveOrganization· Optometrist· Royal Oak, MI
Optometrist in Royal Oak, Michigan, registered in NPPES in March 2021. The authorized official on file is Shakia Tisdale, Credentialing & Privileging. Enrolled in Medicare as dme supplier - physician - optometrist.
Overview
| NPI | 1942887039 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2021 |
| Last updated in NPPES | Mar 25, 2021 |
| Certified by provider | Mar 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
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 (MI) |
|---|
Other Optometrist providers in Royal Oak
- 1114223377
- 1205145729
- 1740278357
- 1295861474
- 1205955515
- 1700582889
- 1205401254
- 1407805237
- 1104031012
- 1215197587
- 1609823996
- 1497743108