EYE CENTER NORTHEAST
NPI 1467601872
Optometrist in Bangor, ME
NPI Status: Active since September 10, 2008
Contact Information
955 BROADWAY
BANGOR, ME
ZIP 04401
Phone: (207) 990-4388
Fax: (207) 947-9241
- Organization
- Optometrist
- CLIA Number: 20D2115112
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-27-2026
About EYE CENTER NORTHEAST
This page provides the complete NPI Profile along with additional information for Eye Center Northeast, a provider established in Bangor, Maine operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1467601872 assigned on September 2008. The practitioner's primary taxonomy code is 152W00000X with license number OPT797 (ME). The provider is registered as an organization and their NPI record was last updated one year 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 Eye Center Northeast. The authorized official of this NPI record is Dr. David T Douglass O.d. (Owner)
- NPI
- 1467601872
- Provider Legal Name
- NORTHEAST EYECARE, INC.
- Other Organization Name
- EYE CENTER NORTHEAST
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 955 BROADWAY BANGOR, ME 04401
- Location Phone
- (207) 990-4388
- Location Fax
- (207) 947-9241
- Mailing Address
- 955 BROADWAY BANGOR, ME 04401
- Mailing Phone
- (207) 990-4388
- Mailing Fax
- (207) 947-9241
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-10-2008
- Last Update Date
- 01-16-2025
- 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 No.
- OPT797
- License State
- ME
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D2115112
- Facility Type
- Physician Office
- Certificate Effective Date
- June 28, 2024
- Certificate Expiration Date
- June 27, 2026
- Laboratory Director
- DAVID T. DOUGLASS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eye Center Northeast to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 6 | 0 | 1 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 12 | 0 | 2 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 2 + 0 + 2 + 8 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1467601872 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1417949678 | MR. DAVID THOMAS DOUGLASS OD Individual | Optometrist | 955 BROADWAY BANGOR, ME 04401 (207) 990-4388 |
| 1669055588 | DR. CHLOE CAROLYN DOUGLASS OD Individual | Optometrist | 955 BROADWAY BANGOR, ME 04401 (207) 990-4388 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467601872, enumerated in the NPI registry as an "organization" on September 10, 2008
The provider is located at 955 Broadway Bangor, Me 04401 and the phone number is (207) 990-4388
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider's CLIA number is 20D2115112 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 10, 2008. 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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