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Kingdom Eyecare

NPI 1962136226ActiveOrganization· Optometrist· Shreveport, LA

Optometrist in Shreveport, Louisiana, registered in NPPES in July 2022. The authorized official on file is Tiffany Griffin, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1962136226
StatusActive
Entity typeOrganization
NPI issuedJul 13, 2022
Last updated in NPPESJul 13, 2022
Certified by providerJul 13, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

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

Medicare sources and data years

Other Optometrist providers in Shreveport

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