DR. PHILIP LEROY NICHOLSON O.D.
NPI 1184813974
Optometrist in Beltsville, MD

NPI Status: Active since October 17, 2007

Contact Information

10925 BALTIMORE AVE
OPTICAL DEPARTMENT
BELTSVILLE, MD
ZIP 20705
Phone: (301) 595-9041

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  • Individual
  • Male
  • Optometrist

About PHILIP NICHOLSON

This page provides the complete NPI Profile along with additional information for Philip Nicholson, a provider established in Beltsville, Maryland with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1184813974 assigned on October 2007. The practitioner's primary taxonomy code is 152W00000X with license number TA1322 (MD). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1184813974
Provider Name
DR. PHILIP LEROY NICHOLSON O.D.
Gender
Male
Entity Type
Individual
Location Address
10925 BALTIMORE AVE OPTICAL DEPARTMENT BELTSVILLE, MD 20705
Location Phone
(301) 595-9041
Mailing Address
17904 GEORGIA AVE SUITE 203 OLNEY, MD 20832
Mailing Phone
(301) 595-9041
Is Sole Proprietor?
Yes
Enumeration Date
10-17-2007
Last Update Date
10-17-2007
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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 No.
TA1322
License State
MD
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152WV0400XEye and Vision Services Providers

Optometrist
Vision Therapy

TA1322 (MD)

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.

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
U57138MEDICARE UPIN (02)MD 

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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.
1184813974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211641616914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 6 + 1 + 6 + 9 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1184813974 is valid because the calculated check digit 4 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
1780838433DR. CATHERINE MADSEN O.D.
Individual
Optometrist10925 BALTIMORE AVE
BELTSVILLE, MD 20705
(301) 595-5959
1528454279COSTCO WHOLESALE CORPORATION
Organization
Hearing Aid Equipment10925 BALTIMORE AVE
BELTSVILLE, MD 20705
(301) 595-9272
1174806137MRS. MICHELLE DEMARCO GROFF B.S.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)10925 BALTIMORE AVE
BELTSVILLE, MD 20705
(301) 902-2655
1700169869 LISA SHEK
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)10925 BALTIMORE AVE
BELTSVILLE, MD 20705
(301) 902-2655
1427442797COSTCO WHOLESALE CORPORATION
Organization
Eyewear Supplier10925 BALTIMORE AVE
BELTSVILLE, MD 20705
(301) 902-2640
1134239759COSTCO WHOLESALE CORPORATION
Organization
Pharmacy (Community/Retail Pharmacy)10925 BALTIMORE AVE
BELTSVILLE, MD 20705
(301) 902-2655
1053085878 LAUREN WATSON OD
Individual
Optometrist10925 BALTIMORE AVE
BELTSVILLE, MD 20705
(301) 595-9041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184813974, enumerated in the NPI registry as an "individual" on October 17, 2007

The provider is located at 10925 Baltimore Ave Optical Department Beltsville, Md 20705 and the phone number is (301) 595-9041

The provider's speciality is 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 October 17, 2007. 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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