HAYDEN VISION SOURCE PLLC
NPI 1548999840
Optometrist in Hayden, ID

NPI Status: Active since June 10, 2022

Contact Information

8445 N GOVERNMENT WAY
HAYDEN, ID
ZIP 83835
Phone: (208) 772-3208
Fax: (208) 762-2574

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  • Organization
  • Optometrist

About HAYDEN VISION SOURCE PLLC

This page provides the complete NPI Profile along with additional information for Hayden Vision Source Pllc, a provider established in Hayden, Idaho operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1548999840 assigned on June 2022. The practitioner's primary taxonomy code is 152W00000X. 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 authorized official of this NPI record is Emily Putney Cpc (Credentialing Specialist)

NPI
1548999840
Provider Name
HAYDEN VISION SOURCE PLLC
Entity Type
Organization
Location Address
8445 N GOVERNMENT WAY HAYDEN, ID 83835
Location Phone
(208) 772-3208
Location Fax
(208) 762-2574
Mailing Address
8445 N GOVERNMENT WAY HAYDEN, ID 83835
Mailing Phone
(208) 772-3208
Mailing Fax
(208) 762-2574
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-10-2022
Last Update Date
06-10-2022
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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
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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EMILY PUTNEY CPC

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(208) 772-3208

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1780345264MEDICAID (05)ID 

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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.
1548999840
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881891888
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 8 + 9 + 1 + 8 + 8 + 8 + 24 = 90
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1548999840 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 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356335897DR. ROBERT A SORENSEN O.D.
Individual
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1699870527DR. DEBRA L. STOENNER O.D
Individual
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1407975873HAYDEN VISION CENTER P.A.
Organization
Specialist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1629427372HAYDEN VISION CENTER
Organization
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1528418977 KYLE ANDREW STOTT O.D.
Individual
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1013575851 TYREL J BRUNEEL OD
Individual
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1780345264HAYDEN VISION SOURCE PLLC
Organization
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1649571118DR. BRIAN PAUL FINLEY O.D.
Individual
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 772-3208
1912524513 JETT SCRIMSHER OD
Individual
Optometrist8445 N GOVERNMENT WAY
HAYDEN, ID 83835
(208) 660-9960

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548999840, enumerated in the NPI registry as an "organization" on June 10, 2022

The provider is located at 8445 N Government Way Hayden, Id 83835 and the phone number is (208) 772-3208

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Medicare and Medicaid. 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 June 10, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.