GLORIA C JENNINGS OD, PROFESSIONAL CORPORATION
NPI 1063642189
Optometrist in Indianapolis, IN

NPI Status: Active since July 23, 2009

Contact Information

1717 W 86TH ST
SUITE 130
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 876-1112
Fax: (317) 876-2187

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  • Organization
  • Optometrist

About GLORIA C JENNINGS OD, PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Gloria C Jennings Od, Professional Corporation, a provider established in Indianapolis, Indiana operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1063642189 assigned on July 2009. The practitioner's primary taxonomy code is 152W00000X with license number 18001957 (IN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Gloria C Jennings O.d. (Optometrist)

NPI
1063642189
Provider Name
GLORIA C JENNINGS OD, PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
1717 W 86TH ST SUITE 130 INDIANAPOLIS, IN 46260
Location Phone
(317) 876-1112
Location Fax
(317) 876-2187
Mailing Address
1717 W 86TH ST SUITE 130 INDIANAPOLIS, IN 46260
Mailing Phone
(317) 876-1112
Mailing Fax
(317) 876-2187
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2009
Last Update Date
09-05-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
18001957
License State
IN
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GLORIA C JENNINGS O.D.

Authorized Official Title
OPTOMETRIST
Authorized Official Phone
(317) 876-1112

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100239200MEDICAID (05)IN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063642189
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231244116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 4 + 4 + 1 + 1 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1063642189 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639358963RAYMOND A BAUMGARTNER PC
Organization
Podiatrist (Foot & Ankle Surgery)1717 W 86TH ST STE 400
INDIANAPOLIS, IN 46260
(317) 872-8042
1023263688CHIROPRACTIC THERAPEUTICS AND REHABILITATION. INC
Organization
Chiropractor1717 W 86TH ST SUITE 800S
INDIANAPOLIS, IN 46260
(317) 876-7826
1952629206DR. THOMAS GEORGE EYRICH D.C.
Individual
Chiropractor1717 W 86TH ST SUITE 220
INDIANAPOLIS, IN 46260
(317) 872-8684
1699036871DR. KEVIN PATRICK FORREST D.C., LAC.
Individual
Chiropractor1717 W 86TH ST SUITE 470
INDIANAPOLIS, IN 46260
(317) 755-2297
1790036259CORRECTIVE MUSCULAR THERAPY LLC
Organization
Health Maintenance Organization1717 W 86TH ST SUITE 800 SOUTH
INDIANAPOLIS, IN 46260
(317) 517-1562
1023141249 GLORIA C JENNINGS O.D.
Individual
Optometrist1717 W 86TH ST SUITE 130
INDIANAPOLIS, IN 46260
(317) 876-1112
1811025455SYCAMORE REHABILITATION SERVICES
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities1717 W 86TH ST SUITE 300
INDIANAPOLIS, IN 46260
(317) 415-0334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063642189, enumerated in the NPI registry as an "organization" on July 23, 2009

The provider is located at 1717 W 86th St Suite 130 Indianapolis, In 46260 and the phone number is (317) 876-1112

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 23, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.