ILLINOIS VALLEY EYE CARE
NPI 1477614329
Optometrist in Spring Valley, IL
NPI Status: Active since December 13, 2006
Contact Information
215 RICHARD A MAUTINO DR
SPRING VALLEY, IL
ZIP 61362
Phone: (815) 664-5331
Fax: (815) 663-5057
- Organization
- Optometrist
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About ILLINOIS VALLEY EYE CARE
This page provides the complete NPI Profile along with additional information for Illinois Valley Eye Care, a provider established in Spring Valley, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1477614329 assigned on December 2006. The practitioner's primary taxonomy code is 152W00000X with license number 046-008411 (IL). The provider is registered as an organization and their NPI record was last updated 5 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 Illinois Valley Eye Care. The authorized official of this NPI record is Kent Alan Kunkel Od (Owner)
- NPI
- 1477614329
- Provider Legal Name
- EYESITE-ILLINOIS VALLEY, LLC
- Other Organization Name
- ILLINOIS VALLEY EYE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 215 RICHARD A MAUTINO DR SPRING VALLEY, IL 61362
- Location Phone
- (815) 664-5331
- Location Fax
- (815) 663-5057
- Mailing Address
- 215 RICHARD A MAUTINO DR SPRING VALLEY, IL 61362
- Mailing Phone
- (815) 664-5331
- Mailing Fax
- (815) 663-5057
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 12-15-2020
- Code Navigator
Illinois Valley Eye Care is a medicare supplier with PTAN 20607497 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 Surgical Dressings.
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.
- 046-008411
- 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:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20607497
- 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
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Reviews for ILLINOIS VALLEY 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 | 7 | 7 | 6 | 1 | 4 | 3 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 12 | 1 | 8 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 2 + 1 + 8 + 3 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1477614329 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1134272842 | KENT KUNKEL O.D. Individual | Optometrist | 215 RICHARD A MAUTINO DR SPRING VALLEY, IL 61362 (815) 664-5331 |
| 1023631744 | LAUREN ELIZABETH UHLENHOPP OD Individual | Optometrist | 215 RICHARD A MAUTINO DR SPRING VALLEY, IL 61362 (815) 664-5331 |
| 1912050527 | BETH KUNKEL O.D. Individual | Optometrist | 215 RICHARD A MAUTINO DR SPRING VALLEY, IL 61362 (815) 664-5331 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477614329, enumerated in the NPI registry as an "organization" on December 13, 2006
The provider is located at 215 Richard A Mautino Dr Spring Valley, Il 61362 and the phone number is (815) 664-5331
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois and. 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 December 13, 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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