Northwest Eye Clinic, LLC
NPI 1992044432ActiveOrganization· Ophthalmology· Golden Valley, MN
Ophthalmology in Golden Valley, Minnesota, registered in NPPES in February 2013. The authorized official on file is Kelly Pettengill, Credentialing And Data Management.
Overview
| NPI | 1992044432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2013 |
| Last updated in NPPES | Mar 18, 2020 |
| Certified by provider | Mar 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 360 | MN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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