SAM'S OPTICAL CENTER 30-4866
NPI 1518449875
Eyewear Supplier in San Juan, PR
NPI Status: Active since September 04, 2018
Contact Information
PR-2 KM 2.2 KENNEDY AVE
SAN JUAN, PR
ZIP 00936
Phone: (787) 522-3601
- Organization
- Eyewear Supplier
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About SAM'S OPTICAL CENTER 30-4866
This page provides the complete NPI Profile along with additional information for Sam's Optical Center 30-4866, a provider established in San Juan, Puerto Rico operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1518449875 assigned on September 2018. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Sam's Optical Center 30-4866 operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sam's Optical Center 30-4866. The authorized official of this NPI record is Sarah Little (Director Of Health Car Contracting)
- NPI
- 1518449875
- Provider Legal Name
- WAL-MART PUERTO RICO, INC.
- Other Organization Name
- SAM'S OPTICAL CENTER 30-4866
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- PR-2 KM 2.2 KENNEDY AVE SAN JUAN, PR 00936
- Location Phone
- (787) 522-3601
- Mailing Address
- 702 SW 8TH ST BENTONVILLE, AR 72716
- Mailing Phone
- (479) 204-1258
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-04-2018
- Last Update Date
- 09-04-2018
- Code Navigator
Sam's Optical Center 30-4866 is a medicare supplier with PTAN 20587967 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients 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
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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 Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
*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
- 20587967
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy, Optician.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Enteral Nutrients - Enteral formula
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Reviews for SAM'S OPTICAL CENTER 30-4866
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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 | 5 | 1 | 8 | 4 | 4 | 9 | 8 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 8 | 4 | 18 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 8 + 4 + 1 + 8 + 8 + 1 + 4 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1518449875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356893150 | MARTIN PERDOMO Individual | Pharmacist | PR-2 KM 2.2 KENNEDY AVE MARGINAL JOHN F KENNEDY SAN JUAN, PR 00936 (787) 522-3601 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518449875, enumerated in the NPI registry as an "organization" on September 04, 2018
The provider is located at Pr-2 Km 2.2 Kennedy Ave San Juan, Pr 00936 and the phone number is (787) 522-3601
This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. 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 September 04, 2018. 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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