PROMENADE EYE CARE
NPI 1225457716
Optometrist in Coconut Creek, FL

NPI Status: Active since April 11, 2014

Contact Information

4413 LYONS RD
SUITE 101 DOCTORS OF OPTOMETRY NEXT TO LENSCRAFTERS
COCONUT CREEK, FL
ZIP 33073
Phone: (954) 975-9181
Fax: (954) 975-9597

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  • Organization
  • Optometrist
  • Accepts Insurance

About PROMENADE EYE CARE

This page provides the complete NPI Profile along with additional information for Promenade Eye Care, a provider established in Coconut Creek, Florida operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1225457716 assigned on April 2014. The practitioner's primary taxonomy code is 152W00000X with license number OPC 4633 (FL). The provider is registered as an organization and their NPI record was last updated 11 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 Promenade Eye Care. The authorized official of this NPI record is Dr. Anisa Kristollari (Optometrist)

NPI
1225457716
Provider Legal Name
PROMENADE EYE CARE, LLC
Other Organization Name
PROMENADE EYE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4413 LYONS RD SUITE 101 DOCTORS OF OPTOMETRY NEXT TO LENSCRAFTERS COCONUT CREEK, FL 33073
Location Phone
(954) 975-9181
Location Fax
(954) 975-9597
Mailing Address
4413 LYONS RD SUITE 101 DOCTORS OF OPTOMETRY NEXT TO LENSCRAFTERS COCONUT CREEK, FL 33073
Mailing Phone
(954) 975-9181
Mailing Fax
(954) 975-9597
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2014
Last Update Date
04-11-2014
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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.
OPC 4633
License State
FL
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
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - 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

DR. ANISA KRISTOLLARI

Authorized Official Title
OPTOMETRIST
Authorized Official Phone
(954) 975-9181

Reviews for PROMENADE EYE CARE

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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.
1225457716
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245851472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 8 + 5 + 1 + 4 + 7 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1225457716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285965897DR. TRISHA A SAGMILLER
Organization
Optometrist4413 LYONS RD SUITE 101
COCONUT CREEK, FL 33073
(954) 975-9181
1750533550LUXOTTICA OF AMERICA INC.
Organization
Eyewear Supplier4413 LYONS RD THE PROMENADE AT LYONS
COCONUT CREEK, FL 33073
(954) 970-0398

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225457716, enumerated in the NPI registry as an "organization" on April 11, 2014

The provider is located at 4413 Lyons Rd Suite 101 Doctors Of Optometry Next To Lenscrafters Coconut Creek, Fl 33073 and the phone number is (954) 975-9181

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and Wellpoint. 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 April 11, 2014. 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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