TARBORO EYE ASSOCIATES OD PLLC
NPI 1194009605
Optometrist in Tarboro, NC

NPI Status: Active since October 03, 2011

Contact Information

2807 N MAIN ST
TARBORO, NC
ZIP 27886
Phone: (252) 823-8295

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment
  • CLIA Number: 34D2181180
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2026

About TARBORO EYE ASSOCIATES OD PLLC

This page provides the complete NPI Profile along with additional information for Tarboro Eye Associates Od Pllc, a provider established in Tarboro, North Carolina operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1194009605 assigned on October 2011. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 14 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 David R Anderson Od (Member)

NPI
1194009605
Provider Name
TARBORO EYE ASSOCIATES OD PLLC
Entity Type
Organization
Location Address
2807 N MAIN ST TARBORO, NC 27886
Location Phone
(252) 823-8295
Mailing Address
PO BOX 4001 TARBORO, NC 27886
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2011
Last Update Date
12-08-2011
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Tarboro Eye Associates Od Pllc is a medicare supplier with PTAN 34357370 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Ocular Prostheses.

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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
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:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO

*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

DAVID R ANDERSON OD

Authorized Official Title
MEMBER
Authorized Official Phone
(252) 823-8295

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
34357370
Accepts Medicare Assignment
NO
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Ocular Prostheses - Prosthetic eyes

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
34D2181180
Facility Type
Physician Office
Certificate Effective Date
March 27, 2024
Certificate Expiration Date
March 26, 2026
Laboratory Director
ALVAH C. CAYTON IV
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tarboro Eye Associates Od Pllc 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.

Reviews for TARBORO EYE ASSOCIATES OD PLLC

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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.
1194009605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184001860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 0 + 0 + 1 + 8 + 6 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1194009605 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174737886TARBORO CLINIC OPTICAL
Organization
Optometrist2807 N MAIN ST
TARBORO, NC 27886
(252) 823-8295
1467422543 DAVID ANDERSON O.D.
Individual
Optometrist2807 N MAIN ST
TARBORO, NC 27886
(252) 823-8295
1346654134TARBORO EYE ASSOCIATES OPTOMETRY PLLC
Organization
Optometrist2807 N MAIN ST
TARBORO, NC 27886
(252) 823-8295
1902054042 ALVAH C CAYTON IV OD
Individual
Optometrist2807 N MAIN ST
TARBORO, NC 27886
(252) 823-8295
1548662323DR. SARAH T TYSON O.D.
Individual
Optometrist2807 N MAIN ST
TARBORO, NC 27886
(252) 823-8295
1396014486DR. ADAM JOSEPH PALO O.D.
Individual
Optometrist2807 N MAIN ST
TARBORO, NC 27886
(252) 823-8295

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194009605, enumerated in the NPI registry as an "organization" on October 03, 2011

The provider is located at 2807 N Main St Tarboro, Nc 27886 and the phone number is (252) 823-8295

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 34D2181180 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 October 03, 2011. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.