ADVANTAGE EYE CENTERS INC.
NPI 1568654861
Clinic/Center - Ophthalmologic Surgery in Idaho Falls, ID
NPI Status: Active since August 10, 2007
Contact Information
2550 S 25TH E
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-7323
Fax: (208) 552-7325
- Organization
- Clinic/Center
- Ophthalmologic Surgery
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 13D2069636
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-28-2025
About ADVANTAGE EYE CENTERS INC.
This page provides the complete NPI Profile along with additional information for Advantage Eye Centers Inc., a provider established in Idaho Falls, Idaho operating as a Clinic/center, focusing in ophthalmologic surgery . The healthcare provider is registered in the NPI registry with number 1568654861 assigned on August 2007. The practitioner's primary taxonomy code is 261QS0132X with license number 0818 (ID). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Jayme L Owens (Insurance Administration)
- NPI
- 1568654861
- Provider Name
- ADVANTAGE EYE CENTERS INC.
- Entity Type
- Organization
- Location Address
- 2550 S 25TH E IDAHO FALLS, ID 83404
- Location Phone
- (208) 552-7323
- Location Fax
- (208) 552-7325
- Mailing Address
- 2550 S 25TH E IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 552-7323
- Mailing Fax
- (208) 552-7325
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-10-2007
- Last Update Date
- 02-05-2016
- Code Navigator
Advantage Eye Centers Inc. is a medicare supplier with PTAN 20578769 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 Prosthetic Lenses: Prosthetics Cataract Lenses.
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
Clinic/Center Ophthalmologic Surgery
- Taxonomy Code
- 261QS0132X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0818
- License State
- ID
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
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
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.
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.
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 |
|---|---|---|---|
| 410048068 | OTHER (01) | ID | RAILROAD MEDICARE |
| 1307550001 | MEDICARE NSC (07) | ID | |
| 000010015407 | OTHER (01) | ID | REGENCE BLUESHIELD OF ID |
| 1368060 | MEDICARE PIN (08) | ID | |
| 004321400 | MEDICAID (05) | ID | |
| 1307550001 | OTHER (01) | ID | NORIDIAN |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20578769
- 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
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
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
- 13D2069636
- Facility Type
- Physician Office
- Certificate Effective Date
- November 29, 2023
- Certificate Expiration Date
- November 28, 2025
- Laboratory Director
- JERRY NAVE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advantage Eye Centers Inc. 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 | 5 | 6 | 8 | 6 | 5 | 4 | 8 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 12 | 5 | 8 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 8 + 8 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1568654861 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1245340314 | JERRY BLAIR NAVE OD Individual | Optometrist | 2550 S 25TH E IDAHO FALLS, ID 83404 (208) 552-7323 |
| 1851536098 | AMIR M SHAMA O.D. Individual | Optometrist | 2550 S 25TH E IDAHO FALLS, ID 83404 (208) 552-7323 |
| 1336981158 | AMPLIFY OPTOMETRY OF AMERICA PLLC Organization | Optometrist | 2550 S 25TH E IDAHO FALLS, ID 83404 (208) 552-7323 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568654861, enumerated in the NPI registry as an "organization" on August 10, 2007
The provider is located at 2550 S 25th E Idaho Falls, Id 83404 and the phone number is (208) 552-7323
This medical organization specializes in Clinic/Center with taxonomy code 261QS0132X with a focus in Ophthalmologic Surgery
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Mountain Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 13D2069636 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 August 10, 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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