SALMON RIVER VISION CLINIC, PLLC
NPI 1396018461
Optometrist in Salmon, ID
NPI Status: Active since February 20, 2012
Contact Information
603 SHOUP ST
SALMON, ID
ZIP 83467
Phone: (208) 756-2020
Fax: (208) 756-3741
- Organization
- Optometrist
- Medicare Supplier
- Accepts Medicare Approved Payment
About SALMON RIVER VISION CLINIC, PLLC
This page provides the complete NPI Profile along with additional information for Salmon River Vision Clinic, Pllc, a provider established in Salmon, Idaho operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1396018461 assigned on February 2012. The practitioner's primary taxonomy code is 152W00000X with license number ODP-100011 (ID). The provider is registered as an organization and their NPI record was last updated 2 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 former legal business name is Scott Burns Taylor. The authorized official of this NPI record is Dr. Dustin James Jones O.d. (Owner)
- NPI
- 1396018461
- Provider Legal Name
- SALMON RIVER VISION CLINIC, PLLC
- Other Organization Name
- SCOTT BURNS TAYLOR
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 603 SHOUP ST SALMON, ID 83467
- Location Phone
- (208) 756-2020
- Location Fax
- (208) 756-3741
- Mailing Address
- 603 SHOUP ST SALMON, ID 83467
- Mailing Phone
- (208) 756-2020
- Mailing Fax
- (208) 756-3741
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-20-2012
- Last Update Date
- 04-26-2023
- Code Navigator
Salmon River Vision Clinic, Pllc is a medicare supplier with PTAN 20522369 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.
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 No.
- ODP-100011
- License State
- ID
- 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20522369
- 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
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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 | 9 | 6 | 0 | 1 | 8 | 4 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 1 | 16 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 1 + 1 + 6 + 4 + 1 + 2 + 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 = 1 | 1 | ||||||||
The NPI number 1396018461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396018461, enumerated in the NPI registry as an "organization" on February 20, 2012
The provider is located at 603 Shoup St Salmon, Id 83467 and the phone number is (208) 756-2020
This medical organization specializes in Optometrist with taxonomy code 152W00000X
This NPI record was last updated on February 20, 2012. 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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