PEDIATRIC EYE PHYSICIANS & SURGEONS PC
NPI 1215132360
Ophthalmology in Paoli, PA
NPI Status: Active since June 19, 2007
Contact Information
155 W LANCASTER AVE
PAOLI, PA
ZIP 19301
Phone: (610) 993-8083
Fax: (610) 993-8086
- Organization
- Ophthalmology
- CLIA Number: 39D0202832
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-07-2025
About PEDIATRIC EYE PHYSICIANS & SURGEONS PC
This page provides the complete NPI Profile along with additional information for Pediatric Eye Physicians & Surgeons Pc, a provider established in Paoli, Pennsylvania operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1215132360 assigned on June 2007. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 13 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 Dr. Martin Conway Wilson M.d. (Physician)
- NPI
- 1215132360
- Provider Name
- PEDIATRIC EYE PHYSICIANS & SURGEONS PC
- Entity Type
- Organization
- Location Address
- 155 W LANCASTER AVE PAOLI, PA 19301
- Location Phone
- (610) 993-8083
- Location Fax
- (610) 993-8086
- Mailing Address
- 155 W LANCASTER AVE PAOLI, PA 19301
- Mailing Phone
- (610) 993-8083
- Mailing Fax
- (610) 993-8086
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2007
- Last Update Date
- 01-22-2013
- Code Navigator
Ophthalmologists like Pediatric Eye Physicians & Surgeons 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.
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
- 39D0202832
- Facility Type
- Physician Office
- Certificate Effective Date
- October 08, 2023
- Certificate Expiration Date
- October 07, 2025
- Laboratory Director
- DR. RAND KIENZLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Eye Physicians & Surgeons 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 | 2 | 1 | 5 | 1 | 3 | 2 | 3 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 3 | 4 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 3 + 4 + 3 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1215132360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073569984 | MARTIN CONWAY WILSON M.D. Individual | Ophthalmology | 155 W LANCASTER AVE PAOLI, PA 19301 (610) 993-8083 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215132360, enumerated in the NPI registry as an "organization" on June 19, 2007
The provider is located at 155 W Lancaster Ave Paoli, Pa 19301 and the phone number is (610) 993-8083
This medical organization specializes in Ophthalmology with taxonomy code 207W00000X
The provider's CLIA number is 39D0202832 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 June 19, 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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