Axtell Eye Center LLC
NPI 1972975456ActiveOrganization· Ophthalmology· Newton, KS
Ophthalmology in Newton, Kansas, registered in NPPES in October 2015, part of Axtell Clinic PA. The authorized official on file is Alisha Malo, RN, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972975456 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Axtell Clinic PA |
| NPI issued | Oct 23, 2015 |
| Last updated in NPPES | Jan 14, 2021 |
| Certified by provider | Jan 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 04-21695 | KS |
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 Part B Supplier - Clinic/Group Practice (KS) |
|---|
Other Ophthalmology providers in Newton
- 1801901780
- 1104894070