ESSENTIAL EYECARE, LLC
NPI 1114150828
Optometrist in New Richmond, WI

NPI Status: Active since August 27, 2009

Contact Information

250 RICHMOND WAY
NEW RICHMOND, WI
ZIP 54017
Phone: (715) 246-2894
Fax: (715) 246-2894

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  • Organization
  • Optometrist

About ESSENTIAL EYECARE, LLC

This page provides the complete NPI Profile along with additional information for Essential Eyecare, Llc, a provider established in New Richmond, Wisconsin operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1114150828 assigned on August 2009. The practitioner's primary taxonomy code is 152W00000X with license number 3023-035 (WI). The provider is registered as an organization and their NPI record was last updated 16 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. Angela Porch Johnson O.d. (Member)

NPI
1114150828
Provider Name
ESSENTIAL EYECARE, LLC
Entity Type
Organization
Location Address
250 RICHMOND WAY NEW RICHMOND, WI 54017
Location Phone
(715) 246-2894
Location Fax
(715) 246-2894
Mailing Address
250 RICHMOND WAY NEW RICHMOND, WI 54017
Mailing Phone
(715) 246-2894
Mailing Fax
(715) 246-2894
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2009
Last Update Date
08-27-2009
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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.
3023-035
License State
WI
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. ANGELA PORCH JOHNSON O.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(651) 270-1621

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
U79710MEDICARE UPIN (02) 
410002518MEDICARE PIN (08) 

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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.
1114150828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212425084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 2 + 5 + 0 + 8 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1114150828 is valid because the calculated check digit 8 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
1205166998WESTFIELDS HOSPITAL, INC.
Organization
Nurse Practitioner250 RICHMOND WAY
NEW RICHMOND, WI 54017
(715) 243-2600
1841509973 EMILY L. NUNES PA-C
Individual
Physician Assistant250 RICHMOND WAY
NEW RICHMOND, WI 54017
(715) 243-7224
1528666559 JAMES DARWIN BRAKKE
Individual
Pharmacist250 RICHMOND WAY
NEW RICHMOND, WI 54017
(715) 246-9097
1386242030DR. CHRISTOPHER HANSEN PHARMD
Individual
Pharmacist250 RICHMOND WAY
NEW RICHMOND, WI 54017
(715) 246-9097
1124627013 PATRICIA HELGESON
Individual
Pharmacist250 RICHMOND WAY
NEW RICHMOND, WI 54017
(715) 246-9097
1205549425 BENJAMIN MATTHEW LILLEBERG
Individual
Pharmacist250 RICHMOND WAY
NEW RICHMOND, WI 54017
(715) 246-9097
1487672259WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)250 RICHMOND WAY
NEW RICHMOND, WI 54017
(715) 246-9097

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114150828, enumerated in the NPI registry as an "organization" on August 27, 2009

The provider is located at 250 Richmond Way New Richmond, Wi 54017 and the phone number is (715) 246-2894

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 August 27, 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].
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