MOULTON OPTICAL DEPARTMENT
NPI 1235304924
Eyewear Supplier in Fort Smith, AR

NPI Status: Active since April 24, 2008

Contact Information

5518 ELLSWORTH RD
FORT SMITH, AR
ZIP 72903
Phone: (479) 646-3937
Fax: (479) 646-3605

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  • Organization
  • Eyewear Supplier

About MOULTON OPTICAL DEPARTMENT

This page provides the complete NPI Profile along with additional information for Moulton Optical Department, a provider established in Fort Smith, Arkansas operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1235304924 assigned on April 2008. The practitioner's primary taxonomy code is 332H00000X with license number C4990 (AR). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Everett Crockett Moulton Iii M.d. (President)

NPI
1235304924
Provider Name
MOULTON OPTICAL DEPARTMENT
Entity Type
Organization
Location Address
5518 ELLSWORTH RD FORT SMITH, AR 72903
Location Phone
(479) 646-3937
Location Fax
(479) 646-3605
Mailing Address
5518 ELLSWORTH RD FORT SMITH, AR 72903
Mailing Phone
(479) 646-3937
Mailing Fax
(479) 646-3605
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2008
Last Update Date
01-24-2019
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
C4990
License State
AR
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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. EVERETT CROCKETT MOULTON III M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(479) 646-3937

Reviews for MOULTON OPTICAL DEPARTMENT

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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.
1235304924
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226560894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 0 + 8 + 9 + 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 1235304924 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053393918CENTER FOR SIGHT OF FORT SMITH PA
Organization
Ophthalmology5518 ELLSWORTH RD
FORT SMITH, AR 72903
(479) 646-3937
1073788212STACY R TAIT PA
Organization
Anesthesiology5518 ELLSWORTH RD
FORT SMITH, AR 72903
(501) 771-4693
1225654379DR. MIRANDA OLIVER DC
Individual
Chiropractor5518 ELLSWORTH RD
FORT SMITH, AR 72903
(479) 551-3434
1427873751 STEPHEN PITTMAN
Individual
Nurse Practitioner (Family)5518 ELLSWORTH RD
FORT SMITH, AR 72903
(479) 274-1747

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235304924, enumerated in the NPI registry as an "organization" on April 24, 2008

The provider is located at 5518 Ellsworth Rd Fort Smith, Ar 72903 and the phone number is (479) 646-3937

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

This NPI record was last updated on April 24, 2008. 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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