JACK BRIDGE, O.D., INC.
NPI 1578742912
Optometrist in Oxford, OH

NPI Status: Active since November 02, 2007

Contact Information

5225 MORNING SUN RD
SUITE B
OXFORD, OH
ZIP 45056
Phone: (513) 523-2020
Fax: (513) 523-1101

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  • Organization
  • Optometrist

About JACK BRIDGE, O.D., INC.

This page provides the complete NPI Profile along with additional information for Jack Bridge, O.d., Inc., a provider established in Oxford, Ohio operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1578742912 assigned on November 2007. The practitioner's primary taxonomy code is 152W00000X with license number 3062T1243 (OH). The provider is registered as an organization and their NPI record was last updated 13 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 Dr. Jack B Bridge O.d. (Owner/physician)

NPI
1578742912
Provider Name
JACK BRIDGE, O.D., INC.
Entity Type
Organization
Location Address
5225 MORNING SUN RD SUITE B OXFORD, OH 45056
Location Phone
(513) 523-2020
Location Fax
(513) 523-1101
Mailing Address
5225 MORNING SUN RD SUITE B OXFORD, OH 45056
Mailing Phone
(513) 523-2020
Mailing Fax
(513) 523-1101
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2007
Last Update Date
04-18-2012
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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
License No.
3062T1243
License State
OH
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

DR. JACK B BRIDGE O.D.

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(513) 523-2020

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
T46686MEDICARE UPIN (02)OH 
BR0405631MEDICARE PIN (08)OH 
0248075MEDICAID (05)OH 

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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.
1578742912
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148144492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 4 + 4 + 4 + 9 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1578742912 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 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447254099 JACK B BRIDGE O.D.
Individual
Optometrist5225 MORNING SUN RD SUITE B
OXFORD, OH 45056
(513) 523-2020
1548212244DR. DANIEL J. STEIN M.D.
Individual
Obstetrics & Gynecology5225 MORNING SUN RD
OXFORD, OH 45056
(513) 523-2158
1245283670MRS. LISA R VETTER CNP
Individual
Nurse Practitioner (Women's Health)5225 MORNING SUN RD
OXFORD, OH 45056
(513) 523-2158
1427001866DR. JOHN T HARLAN M.D.
Individual
Obstetrics & Gynecology5225 MORNING SUN RD SUITE A
OXFORD, OH 45056
(513) 523-2158
1144245622MRS. DONNA L BOSTICK CNM
Individual
Advanced Practice Midwife5225 MORNING SUN RD
OXFORD, OH 45056
(513) 523-2158
1770897670ROGER H. PRINCELL M.D., INC
Organization
Family Medicine5225 MORNING SUN RD SUITE C
OXFORD, OH 45056
(513) 523-2166
1891740924HOWARD L BERNIE MD, INC
Organization
Internal Medicine (Gastroenterology)5225 MORNING SUN RD
OXFORD, OH 45056
(513) 524-5100
1689684318OXFORD OBSTETRICS AND GYNECOLOGY, INC.
Organization
Obstetrics & Gynecology5225 MORNING SUN RD SUITE A
OXFORD, OH 45056
(513) 523-2158
1245538420MRS. MARLA M EVANS CNP
Individual
Nurse Practitioner (Women's Health)5225 MORNING SUN RD
OXFORD, OH 45056
(513) 523-2158

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578742912, enumerated in the NPI registry as an "organization" on November 02, 2007

The provider is located at 5225 Morning Sun Rd Suite B Oxford, Oh 45056 and the phone number is (513) 523-2020

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 November 02, 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].
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.