BONNERS FERRY EYE CARE
NPI 1306564331
Optometrist in Bonners Ferry, ID

NPI Status: Active since August 16, 2022

Contact Information

6348 MAIN ST
BONNERS FERRY, ID
ZIP 83805
Phone: (208) 267-1087
Fax: (208) 267-2235

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

About BONNERS FERRY EYE CARE

This page provides the complete NPI Profile along with additional information for Bonners Ferry Eye Care, a provider established in Bonners Ferry, Idaho operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1306564331 assigned on August 2022. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Bonners Ferry Eye Care. The authorized official of this NPI record is Danielle Tholl Od (Owner)

NPI
1306564331
Provider Legal Name
NORTH 45 EYE PLLC
Other Organization Name
BONNERS FERRY EYE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6348 MAIN ST BONNERS FERRY, ID 83805
Location Phone
(208) 267-1087
Location Fax
(208) 267-2235
Mailing Address
6348 MAIN ST BONNERS FERRY, ID 83805
Mailing Phone
(208) 267-1087
Mailing Fax
(208) 267-2235
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2022
Last Update Date
09-15-2022
Code Navigator



Bonners Ferry Eye Care is a medicare supplier with PTAN 20346797 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.

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.

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

DANIELLE THOLL OD

Authorized Official Title
OWNER
Authorized Official Phone
(208) 267-1087

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20346797
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

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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.
1306564331
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306106836
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 0 + 6 + 8 + 3 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1306564331 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871878926 DANIELLE E. THOLL O.D., F.A.A.O.
Individual
Optometrist6348 MAIN ST
BONNERS FERRY, ID 83805
(208) 267-1087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306564331, enumerated in the NPI registry as an "organization" on August 16, 2022

The provider is located at 6348 Main St Bonners Ferry, Id 83805 and the phone number is (208) 267-1087

This medical organization specializes in Optometrist with taxonomy code 152W00000X

This NPI record was last updated on August 16, 2022. 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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