Guthrie Vision Source PC, Inc.
NPI 1982625703ActiveOrganization· Optometrist· Guthrie, OK
Optometrist in Guthrie, Oklahoma, registered in NPPES in July 2006. The authorized official on file is Michael E. Bennett, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982625703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2006 |
| Last updated in NPPES | Feb 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | OK |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | OK |
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 (OK) |
|---|
Other Optometrist providers in Guthrie
- 1063415396
- 1558473868
- 1417950775
- 1093395147
- 1942203203
- 1073611505
- 1093905614