DR L BRENDT PARK INC
NPI 1154367795
Optometrist in Pasco, WA

NPI Status: Active since June 21, 2006

Contact Information

4820 N ROAD 68
PASCO, WA
ZIP 99301
Phone: (509) 543-7953
Fax: (509) 543-7955

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  • Organization
  • Optometrist
  • Accepts Insurance

About DR L BRENDT PARK INC

This page provides the complete NPI Profile along with additional information for Dr L Brendt Park Inc, a provider established in Pasco, Washington operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1154367795 assigned on June 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 18 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 Lorin B Park O.d. (President)

NPI
1154367795
Provider Name
DR L BRENDT PARK INC
Entity Type
Organization
Location Address
4820 N ROAD 68 PASCO, WA 99301
Location Phone
(509) 543-7953
Location Fax
(509) 543-7955
Mailing Address
5204 MATIA LN PASCO, WA 99301
Mailing Phone
(509) 542-1151
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2006
Last Update Date
10-02-2007
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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 State
WA
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:

  • 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

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

LORIN B PARK O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(509) 542-1151

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
G8859064MEDICARE ID-TYPE UNSPECIFIED (04)WA 

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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.
1154367795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211046614718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 6 + 1 + 4 + 7 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1154367795 is valid because the calculated check digit 5 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
1922062801DR. KENNETH OKECHUKWU UKAUWA PHARM.D.
Individual
Pharmacist4820 N ROAD 68
PASCO, WA 99301
(509) 543-7947
1144253030DR. LORIN B PARK O.D.
Individual
Optometrist4820 N ROAD 68
PASCO, WA 99301
(509) 543-7953
1417351313 DAWN JOHNSON PHARMD
Individual
Pharmacist4820 N ROAD 68
PASCO, WA 99301
(509) 543-7947
1659777167 LESLIE SHIRTS PHARMD
Individual
Pharmacist4820 N ROAD 68
PASCO, WA 99301
(509) 549-7947
1467933655 MANOGNA CHOUDARY PAMIDI RPH
Individual
Pharmacist4820 N ROAD 68
PASCO, WA 99301
(509) 543-7947
1013098912WAL-MART STORES, INC
Organization
Technician/Technologist (Optician)4820 N ROAD 68
PASCO, WA 99301
(509) 543-7934
1376560409WALMART INC.
Organization
Pharmacy (Community/Retail Pharmacy)4820 N ROAD 68
PASCO, WA 99301
(509) 543-7947

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154367795, enumerated in the NPI registry as an "organization" on June 21, 2006

The provider is located at 4820 N Road 68 Pasco, Wa 99301 and the phone number is (509) 543-7953

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, 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 June 21, 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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