VANDALIA OPTOMETRY LLC
NPI 1285679761
Optometrist in Vandalia, OH

NPI Status: Active since June 18, 2006

Contact Information

33 ELVA CT
VANDALIA, OH
ZIP 45377
Phone: (937) 898-3641
Fax: (937) 898-4322

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About VANDALIA OPTOMETRY LLC

This page provides the complete NPI Profile along with additional information for Vandalia Optometry Llc, a provider established in Vandalia, Ohio operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1285679761 assigned on June 2006. The practitioner's primary taxonomy code is 152W00000X with license number 4638 (OH). The provider is registered as an organization and their NPI record was last updated 18 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. Angela E Davis O.d. (Owner/optometrist)

NPI
1285679761
Provider Name
VANDALIA OPTOMETRY LLC
Entity Type
Organization
Location Address
33 ELVA CT VANDALIA, OH 45377
Location Phone
(937) 898-3641
Location Fax
(937) 898-4322
Mailing Address
33 ELVA CT VANDALIA, OH 45377
Mailing Phone
(937) 898-3641
Mailing Fax
(937) 898-4322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2006
Last Update Date
01-08-2008
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Vandalia Optometry Llc is a medicare supplier with PTAN 20576177 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

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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.
4638
License State
OH
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

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.

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. ANGELA E DAVIS O.D.

Authorized Official Title
OWNER/OPTOMETRIST
Authorized Official Phone
(937) 898-3641

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
VO2509379MEDICAID (05)OH 
5871690001MEDICARE NSC (07)OH 
VA9358601MEDICARE PIN (08)OH 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20576177
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

Reviews for VANDALIA OPTOMETRY LLC

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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.
1285679761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216512718712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 1 + 8 + 7 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1285679761 is valid because the calculated check digit 1 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
1326075953DR. ANGELA E DAVIS O.D.
Individual
Optometrist33 ELVA CT
VANDALIA, OH 45377
(937) 898-3641
1316974942DR. JEFFREY A DAVISSON O.D.
Individual
Optometrist33 ELVA CT
VANDALIA, OH 45377
(937) 898-3641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285679761, enumerated in the NPI registry as an "organization" on June 18, 2006

The provider is located at 33 Elva Ct Vandalia, Oh 45377 and the phone number is (937) 898-3641

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. 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 June 18, 2006. 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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