DR. TOM W CLYDE OPTOMETRIST
NPI 1104880434
Optometrist in Colorado Springs, CO

NPI Status: Active since April 13, 2006

Contact Information

710 N CIRCLE DR
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 632-1587
Fax: (719) 632-1563

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  • Individual
  • Male
  • Optometrist

About TOM CLYDE

This page provides the complete NPI Profile along with additional information for Tom Clyde, a provider established in Colorado Springs, Colorado with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1104880434 assigned on April 2006. The practitioner's primary taxonomy code is 152W00000X with license number 867 (CO). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1104880434
Provider Name
DR. TOM W CLYDE OPTOMETRIST
Gender
Male
Entity Type
Individual
Location Address
710 N CIRCLE DR COLORADO SPRINGS, CO 80909
Location Phone
(719) 632-1587
Location Fax
(719) 632-1563
Mailing Address
710 N CIRCLE DR COLORADO SPRINGS, CO 80909
Mailing Phone
(719) 632-1587
Mailing Fax
(719) 632-1563
Is Sole Proprietor?
Yes
Enumeration Date
04-13-2006
Last Update Date
03-23-2016
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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.
867
License State
CO
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.

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.

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
840793775OTHER (01)COTIN#
T60755MEDICARE UPIN (02)CO 
CG2518MEDICARE PIN (08)CO 
08008674MEDICAID (05)CO 

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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.
1104880434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104168046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 8 + 0 + 4 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1104880434 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316907314 JASON M JOST O.D.
Individual
Optometrist710 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 632-1587
1144284035DR. LAWRENCE D HAMPTON OPTOMETRIST
Individual
Optometrist710 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 632-1587
1164630588JASON JOST OD PC
Organization
Optometrist710 N CIRCLE DR
COLORADO SPRINGS, CO 80909
(719) 632-1587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104880434, enumerated in the NPI registry as an "individual" on April 13, 2006

The provider is located at 710 N Circle Dr Colorado Springs, Co 80909 and the phone number is (719) 632-1587

The provider's speciality is 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 April 13, 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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