One provider matched this enrollment ID.
Enrollment ID I20100104000153 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 5 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20100104000153OptometryTX
- I20200929001862OptometryNV
- I20230320002468OptometryAZ
- I20230713000057OptometryMN
- I20230919001950OptometryIA
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 119076IA· Issued by IOWA BOARD OF OPTOMETRY
- 1055NV· Issued by NV BOARD OF OPTOMETRY LICENSE
- 197606AK· Issued by ALASKA BOARD OF OPTOMETRY
- OPT-002560AZ· Issued by ARIZONA BOARD OF OPTOMETRY
- 3858MN· Issued by MINNESOTA BOARD OF OPTOMETRY
- 7041TGTX· Issued by TEXAS BOARD OF OPTOMETRY
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.