DEBRA A. SHIM, O.D., P.A.
NPI 1134455736
Optometrist in Jupiter, FL

NPI Status: Active since November 02, 2009

Contact Information

451 UNIVERSITY BLVD
SUITE 102
JUPITER, FL
ZIP 33458
Phone: (561) 625-4380
Fax: (561) 625-3920

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  • Organization
  • Optometrist
  • Accepts Insurance

About DEBRA A. SHIM, O.D., P.A.

This page provides the complete NPI Profile along with additional information for Debra A. Shim, O.d., P.a., a provider established in Jupiter, Florida operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1134455736 assigned on November 2009. The practitioner's primary taxonomy code is 152W00000X with license number OPC 3312 (FL). The provider is registered as an organization and their NPI record was last updated 15 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 Debra A Shim O.d. (Optometrist/owner)

NPI
1134455736
Provider Name
DEBRA A. SHIM, O.D., P.A.
Entity Type
Organization
Location Address
451 UNIVERSITY BLVD SUITE 102 JUPITER, FL 33458
Location Phone
(561) 625-4380
Location Fax
(561) 625-3920
Mailing Address
451 UNIVERSITY BLVD SUITE 102 JUPITER, FL 33458
Mailing Phone
(561) 625-4380
Mailing Fax
(561) 625-3920
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2009
Last Update Date
02-23-2010
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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.
OPC 3312
License State
FL
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:

  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple PCP Saver - 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.

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

DEBRA A SHIM O.D.

Authorized Official Title
OPTOMETRIST/OWNER
Authorized Official Phone
(561) 625-4380

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
CL589AOTHER (01)MEDICARE PTAN
4435850001MEDICARE NSC (07) 
U76300MEDICARE UPIN (02)FL 

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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.
1134455736
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164851076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 8 + 5 + 1 + 0 + 7 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1134455736 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346503406DR. ALLISON DRISCOLL
Individual
Dentist451 UNIVERSITY BLVD SUITE 101
JUPITER, FL 33458
(561) 427-6850
1407907413DR. DEBRA ANN SHIM O.D.
Individual
Optometrist451 UNIVERSITY BLVD SUITE 102
JUPITER, FL 33458
(561) 625-4380
1427304377 JAMES R QUICK DMD
Individual
Dentist451 UNIVERSITY BLVD 101
JUPITER, FL 33458
(561) 427-6850
1023205895SAGE DENTAL OF JUPITER, PLLC
Organization
Dentist (General Practice)451 UNIVERSITY BLVD BAY 101, BLDG 3
JUPITER, FL 33458
(561) 427-6850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134455736, enumerated in the NPI registry as an "organization" on November 02, 2009

The provider is located at 451 University Blvd Suite 102 Jupiter, Fl 33458 and the phone number is (561) 625-4380

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Oscar Insurance Company of Florida, Medicare and. 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 November 02, 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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