EYE CLINIC, PC
NPI 1154328813
Ophthalmology in Jackson, TN
NPI Status: Active since July 07, 2005
Contact Information
668 SKYLINE DR
JACKSON, TN
ZIP 38301
Phone: (731) 424-2414
Fax: (731) 424-4444
- Organization
- Ophthalmology
- Accepts Insurance
- CLIA Number: 44D0965786
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-28-2025
About EYE CLINIC, PC
This page provides the complete NPI Profile along with additional information for Eye Clinic, Pc, a provider established in Jackson, Tennessee operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1154328813 assigned on July 2005. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 5 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 provider's is doing business as Eye Clinic, Pc. The authorized official of this NPI record is Mr. Raymond James Kee (Administrator)
- NPI
- 1154328813
- Provider Legal Name
- SKYLINE EYE CLINIC, PC
- Other Organization Name
- EYE CLINIC, PC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 668 SKYLINE DR JACKSON, TN 38301
- Location Phone
- (731) 424-2414
- Location Fax
- (731) 424-4444
- Mailing Address
- 668 SKYLINE DR JACKSON, TN 38301
- Mailing Phone
- (731) 424-2414
- Mailing Fax
- (731) 424-4444
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-07-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Ophthalmologists like Eye Clinic, Pc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
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
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- 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
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- Silver Simple Diabetes - EPO
- Silver Simple PCP Saver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0965786
- Facility Type
- Physician Office
- Certificate Effective Date
- September 29, 2023
- Certificate Expiration Date
- September 28, 2025
- Laboratory Director
- LINDA HOLLARS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eye Clinic, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 4 | 3 | 2 | 8 | 8 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 2 | 16 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 2 + 1 + 6 + 8 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1154328813 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1528047586 | DR. JASON MURRAY SULLIVAN MD Individual | Ophthalmology | 668 SKYLINE DR JACKSON, TN 38301 (731) 424-2414 |
| 1689653511 | DR. ARTHUR HOPKINS WOODS MD Individual | Ophthalmology | 668 SKYLINE DR EYE CLINIC PC JACKSON, TN 38301 (731) 424-2414 |
| 1104805043 | DR. MARK ROY BATEMAN MD Individual | Ophthalmology | 668 SKYLINE DR JACKSON, TN 38301 (731) 424-2414 |
| 1831178797 | DR. SEAN TORIN NEEL MD Individual | Ophthalmology | 668 SKYLINE DR JACKSON, TN 38301 (731) 424-2414 |
| 1124241997 | MRS. HILARY C. GRISSOM M.D. Individual | Ophthalmology | 668 SKYLINE DR JACKSON, TN 38301 (731) 424-2414 |
| 1023123643 | STEPHEN DUMAS HAMMOND JR. MD Individual | Ophthalmology | 668 SKYLINE DR JACKSON, TN 38301 (731) 424-2414 |
| 1699120162 | RUTVI NORD M.D. Individual | Ophthalmology | 668 SKYLINE DR JACKSON, TN 38301 (731) 426-8434 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154328813, enumerated in the NPI registry as an "organization" on July 07, 2005
The provider is located at 668 Skyline Dr Jackson, Tn 38301 and the phone number is (731) 424-2414
This medical organization specializes in Ophthalmology with taxonomy code 207W00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D0965786 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 07, 2005. 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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