ROSWELL EYE CLINIC,INC
NPI 1104010594
Optometrist in Roswell, GA
NPI Status: Active since August 29, 2007
Contact Information
1190 GRIMES BRIDGE RD
ROSWELL, GA
ZIP 30075
Phone: (770) 992-7620
Fax: (770) 992-8262
- Organization
- Optometrist
- Accepts Insurance
About ROSWELL EYE CLINIC,INC
This page provides the complete NPI Profile along with additional information for Roswell Eye Clinic,inc, a provider established in Roswell, Georgia operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1104010594 assigned on August 2007. The practitioner's primary taxonomy code is 152W00000X with license number 861-T (GA). The provider is registered as an organization and their NPI record was last updated 14 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 provider's is doing business as Roswell Eye Clinic,inc. The authorized official of this NPI record is Dr. Sharon B Moscow (Optometrist)
- NPI
- 1104010594
- Provider Legal Name
- ROSWELL EYE CLINIC,INC
- Other Organization Name
- ROSWELL EYE CLINIC,INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1190 GRIMES BRIDGE RD ROSWELL, GA 30075
- Location Phone
- (770) 992-7620
- Location Fax
- (770) 992-8262
- Mailing Address
- 1190 GRIMES BRIDGE RD ROSWELL, GA 30075
- Mailing Phone
- (770) 992-7620
- Mailing Fax
- (770) 992-8262
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2007
- Last Update Date
- 02-28-2011
- Code Navigator
Location Map
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.
- 861-T
- License State
- GA
- 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:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
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.
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 |
|---|---|---|---|
| U84370 | MEDICARE UPIN (02) | GA | |
| 0730590001 | MEDICARE NSC (07) | GA | |
| 00168583A | MEDICAID (05) | GA | |
| U17445 | MEDICARE UPIN (02) | ||
| U22197 | MEDICARE UPIN (02) | GA |
Reviews for ROSWELL EYE CLINIC,INC
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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. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 1 | 0 | 5 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 1 | 0 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 1 + 0 + 5 + 1 + 8 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1104010594 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1487736823 | DR. MICHAEL GROVER SMITH DDS Individual | Dentist (General Practice) | 1190 GRIMES BRIDGE RD STE B ROSWELL, GA 30075 (770) 998-8116 |
| 1134299688 | DR. SHARON BERGER-MOSCOW O.D. Individual | Optometrist (Vision Therapy) | 1190 GRIMES BRIDGE RD ROSWELL, GA 30075 (770) 992-7620 |
| 1144390600 | DR. WILLIAM MOSCOW O.D. Individual | Optometrist | 1190 GRIMES BRIDGE RD ROSWELL, GA 30075 (770) 992-7620 |
| 1376984195 | DR. SCOTT ROBERT MOSCOW O.D. Individual | Optometrist | 1190 GRIMES BRIDGE RD ROSWELL, GA 30075 (770) 992-7620 |
| 1467060517 | ASHLEIGH MARIE SPROUSE OD Individual | Optometrist | 1190 GRIMES BRIDGE RD ROSWELL, GA 30075 (770) 992-7620 |
| 1396894135 | DR. MICHAEL PALMIERI D.C. Individual | Chiropractor | 1190 GRIMES BRIDGE RD SUITE G ROSWELL, GA 30075 (770) 998-9091 |
| 1598285447 | MICHELLE ROSE MOSCOW OD Individual | Optometrist | 1190 GRIMES BRIDGE RD ROSWELL, GA 30075 (770) 992-7620 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104010594, enumerated in the NPI registry as an "organization" on August 29, 2007
The provider is located at 1190 Grimes Bridge Rd Roswell, Ga 30075 and the phone number is (770) 992-7620
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Alliant Health Plans, Inc., Blue Cross and Blue. 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 August 29, 2007. 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.