MONROEVILLE EYE CARE
NPI 1467504100
Exclusive Provider Organization in Atmore, AL
NPI Status: Active since January 16, 2007
Contact Information
166 LINDBERG AVE
ATMORE, AL
ZIP 36502
Phone: (251) 368-8767
Fax: (251) 368-4565
- Organization
- Exclusive Provider Organization
- Accepts Insurance
About MONROEVILLE EYE CARE
This page provides the complete NPI Profile along with additional information for Monroeville Eye Care, a provider established in Atmore, Alabama operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1467504100 assigned on January 2007. The practitioner's primary taxonomy code is 302F00000X with license number S486TA041 (AL). 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 Monroeville Eye Care. The authorized official of this NPI record is Dr. David Helton O.d. (President)
- NPI
- 1467504100
- Provider Legal Name
- HELTON VISION ASSOCIATES ,P.C.
- Other Organization Name
- MONROEVILLE EYE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 166 LINDBERG AVE ATMORE, AL 36502
- Location Phone
- (251) 368-8767
- Location Fax
- (251) 368-4565
- Mailing Address
- 166 LINDBERG AVE ATMORE, AL 36502
- Mailing Phone
- (251) 368-8767
- Mailing Fax
- (251) 368-4565
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2007
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 3016 S Alabama Ave
Monroeville, AL 36460
(251) 743-3305
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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- S486TA041
- License State
- AL
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist |
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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MONROEVILLE EYE CARE
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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 | 4 | 6 | 7 | 5 | 0 | 4 | 1 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 10 | 0 | 8 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 0 + 0 + 8 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1467504100 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1467473835 | DR. DAVID J HELTON O.D. Individual | Optometrist | 166 LINDBERG AVE ATMORE, AL 36502 (251) 368-8767 |
| 1831112317 | DR. STEPHEN M GROSS O.D. Individual | Optometrist | 166 LINDBERG AVE ATMORE, AL 36502 (251) 368-8767 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467504100, enumerated in the NPI registry as an "organization" on January 16, 2007
The provider is located at 166 Lindberg Ave Atmore, Al 36502 and the phone number is (251) 368-8767
This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. 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 January 16, 2007. 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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