DR DENNIS M BRTVA & ASSOCIATES
NPI 1336112804
Optometrist in Peoria, IL
NPI Status: Active since February 07, 2006
Contact Information
801 W LAKE AVE
300 EVERGREEN SQUARE
PEORIA, IL
ZIP 61614
Phone: (309) 686-0763
Fax: (309) 685-8809
- Organization
- Optometrist
About DR DENNIS M BRTVA & ASSOCIATES
This page provides the complete NPI Profile along with additional information for Dr Dennis M Brtva & Associates, a provider established in Peoria, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1336112804 assigned on February 2006. The practitioner's primary taxonomy code is 152W00000X. 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 provider's is doing business as Dr Dennis M Brtva & Associates. The authorized official of this NPI record is Dr. Dennis M Brtva O.d. (Owner)
- NPI
- 1336112804
- Provider Legal Name
- DENNIS M BRTVA
- Other Organization Name
- DR DENNIS M BRTVA & ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 801 W LAKE AVE 300 EVERGREEN SQUARE PEORIA, IL 61614
- Location Phone
- (309) 686-0763
- Location Fax
- (309) 685-8809
- Mailing Address
- 801 W LAKE AVE 300 EVERGREEN SQUARE PEORIA, IL 61614
- Mailing Phone
- (309) 686-0763
- Mailing Fax
- (309) 685-8809
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2006
- Last Update Date
- 01-02-2008
- Code Navigator
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
- License State
- IL
- 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:
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.
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.
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 |
|---|---|---|---|
| 7221381 | OTHER (01) | IL | BLUE CROSS/BLUE SHIELD |
| 991461 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
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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 | 3 | 3 | 6 | 1 | 1 | 2 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 1 | 4 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 1 + 4 + 8 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1336112804 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508939125 | KROGER LIMITED PARTNERSHIP I Organization | Pharmacy (Community/Retail Pharmacy) | 801 W LAKE AVE PEORIA, IL 61614 (309) 682-2983 |
| 1942587589 | DR. STEVEN T JENSEN O.D. Individual | Optometrist | 801 W LAKE AVE PEORIA, IL 61614 (309) 686-0763 |
| 1699311407 | MAUREEN SHEKLETON RPH Individual | Pharmacist | 801 W LAKE AVE PEORIA, IL 61614 (309) 682-2983 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336112804, enumerated in the NPI registry as an "organization" on February 07, 2006
The provider is located at 801 W Lake Ave 300 Evergreen Square Peoria, Il 61614 and the phone number is (309) 686-0763
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. 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 February 07, 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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