One provider matched this enrollment ID.
Enrollment ID O20120202000558 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 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.
Part B Supplier
- O20120202000558Clinic/Group PracticePA
DME Supplier
- O20120312000664Physician - OptometristPA
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
- 2524000PA· Issued by CAPITAL BLUE CROSS
- 231939118PA· Issued by VISION SERVICE PLAN
- RE1599308PA· Issued by HIGHMARK BLUE SHIELD
- 231939118PA· Issued by HEALTHAMERICA/HEALTHASSUR
- 0304100001· Issued by DME, NSC
- 231939118PA· Issued by HEALTHGUARD
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.