WHITE RIVER FAMILY EYECARE, PC
NPI 1104878206
Optometrist in White River Junction, VT
NPI Status: Active since May 17, 2006
Contact Information
587 HARTFORD AVE
WHITE RIVER JUNCTION, VT
ZIP 05001
Phone: (802) 295-4887
Fax: (802) 295-5896
- Organization
- Optometrist
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About WHITE RIVER FAMILY EYECARE, PC
This page provides the complete NPI Profile along with additional information for White River Family Eyecare, Pc, a provider established in White River Junction, Vermont operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1104878206 assigned on May 2006. The practitioner's primary taxonomy code is 152W00000X with license number VT030-0000220 (VT). The provider is registered as an organization and their NPI record was last updated 17 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. Eugene J Bernal O.d. (President)
- NPI
- 1104878206
- Provider Name
- WHITE RIVER FAMILY EYECARE, PC
- Entity Type
- Organization
- Location Address
- 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001
- Location Phone
- (802) 295-4887
- Location Fax
- (802) 295-5896
- Mailing Address
- 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001
- Mailing Phone
- (802) 295-4887
- Mailing Fax
- (802) 295-5896
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 04-29-2008
- Code Navigator
White River Family Eyecare, Pc is a medicare supplier with PTAN 20602499 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.
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.
- VT030-0000220
- License State
- VT
- 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:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Gold Pathway X HMO 1000/20%/7500 - HMO
- Anthem Gold Pathway X HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Pathway X HMO 2000/10%/4600 w/HSA - HMO
- 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 |
|---|---|---|---|
| VN3226 | MEDICARE PIN (08) | VT | |
| 1009878 | MEDICAID (05) | VT | |
| 4861170001 | MEDICARE NSC (07) | VT |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20602499
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
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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 | 8 | 7 | 8 | 2 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 7 | 16 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 7 + 1 + 6 + 2 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1104878206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902841380 | DR. EUGENE J. BERNAL OD Individual | Optometrist | 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001 (802) 295-4887 |
| 1598700924 | DR. SANDRA K. DUFOUR OD Individual | Optometrist | 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001 (802) 295-4887 |
| 1508218249 | DR. SHAWN PATRICK MORRIS OD Individual | Optometrist | 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001 (802) 295-4487 |
| 1003267428 | RAN HE O.D., M.S. Individual | Optometrist | 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001 (802) 295-4887 |
| 1851457030 | DR. HEATHER ANNE BOURDEAU O.D. Individual | Optometrist | 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001 (802) 295-4887 |
| 1366257990 | DUFOUR VISION CARE PLLC Organization | Optometrist | 587 HARTFORD AVE WHITE RIVER JUNCTION, VT 05001 (802) 295-4887 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104878206, enumerated in the NPI registry as an "organization" on May 17, 2006
The provider is located at 587 Hartford Ave White River Junction, Vt 05001 and the phone number is (802) 295-4887
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BlueCross. 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 May 17, 2006. 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].
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