GRACE OPTICAL
NPI 1114996840
Optometrist in Bronx, NY

NPI Status: Active since March 15, 2006

Contact Information

3409 JEROME AVE
BRONX, NY
ZIP 10467
Phone: (718) 231-9000

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  • Organization
  • Optometrist

About GRACE OPTICAL

This page provides the complete NPI Profile along with additional information for Grace Optical, a provider established in Bronx, New York operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1114996840 assigned on March 2006. The practitioner's primary taxonomy code is 152W00000X with license number 006830 (NY). 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 Jiyoung Yoon O.d (Owner)

NPI
1114996840
Provider Name
GRACE OPTICAL
Entity Type
Organization
Location Address
3409 JEROME AVE BRONX, NY 10467
Location Phone
(718) 231-9000
Mailing Address
3409 JEROME AVE BRONX, NY 10467
Mailing Phone
(718) 231-9000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2006
Last Update Date
06-06-2008
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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.
006830
License State
NY
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 MULTIPLE 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

JIYOUNG YOON O.D

Authorized Official Title
OWNER
Authorized Official Phone
(718) 231-9000

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
C87441MEDICARE PIN (08)NY 
WCW621MEDICARE PIN (08)NY 
C19761MEDICARE PIN (08)NY 
0237420001MEDICARE NSC (07)NY 
00327000MEDICAID (05)NY 

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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.
1114996840
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241891288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 8 + 9 + 1 + 2 + 8 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114996840 is valid because the calculated check digit 0 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
1639150097MR. FRED HAMOU OPTICIAN
Individual
Technician/Technologist (Optician)3409 JEROME AVE
BRONX, NY 10467
(718) 231-9000
1568482289 JIYOUNG YOON O.D
Individual
Optometrist3409 JEROME AVE
BRONX, NY 10467
(718) 231-9000
1992898100DR. MARK E JACOBSON O.D
Individual
Optometrist3409 JEROME AVE
BRONX, NY 10467
(718) 231-9000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114996840, enumerated in the NPI registry as an "organization" on March 15, 2006

The provider is located at 3409 Jerome Ave Bronx, Ny 10467 and the phone number is (718) 231-9000

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 March 15, 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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