SOUTHWESTERN EYE CENTER - PRESCOTT OPTICAL
NPI 1609344209
Durable Medical Equipment & Medical Supplies in Prescott, AZ
NPI Status: Active since November 13, 2018
Contact Information
3192 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-1234
Fax: (928) 771-8107
- Organization
- Durable Medical Equipment & Medical Supp...
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 03D2159349
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-17-2026
About SOUTHWESTERN EYE CENTER - PRESCOTT OPTICAL
This page provides the complete NPI Profile along with additional information for Southwestern Eye Center - Prescott Optical, a provider established in Prescott, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1609344209 assigned on November 2018. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Southwestern Eye Center - Prescott Optical. The authorized official of this NPI record is Arthur D Brookfield (Chief Financial Officer)
- NPI
- 1609344209
- Provider Legal Name
- SOUTHWESTERN EYE CENTER, LTD
- Other Organization Name
- SOUTHWESTERN EYE CENTER - PRESCOTT OPTICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3192 WILLOW CREEK RD PRESCOTT, AZ 86301
- Location Phone
- (928) 445-1234
- Location Fax
- (928) 771-8107
- Mailing Address
- 63 S ROCKFORD DR STE 220 TEMPE, AZ 85288
- Mailing Phone
- (602) 598-7488
- Mailing Fax
- (928) 771-8107
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2018
- Last Update Date
- 01-16-2024
- Code Navigator
Southwestern Eye Center - Prescott Optical is a medicare supplier with PTAN 20525597 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20525597
- 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
- 03D2159349
- Facility Type
- Physician Office
- Certificate Effective Date
- December 18, 2024
- Certificate Expiration Date
- December 17, 2026
- Laboratory Director
- NANCY WATKINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southwestern Eye Center - Prescott Optical 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 | 6 | 0 | 9 | 3 | 4 | 4 | 2 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 6 | 4 | 8 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 0 + 9 + 6 + 4 + 8 + 2 + 0 + 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 1609344209 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 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962473595 | DR. STEVEN WORTHEN MORTENSON M.D. Individual | Ophthalmology | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 778-3950 |
| 1649238346 | AMY H CHAMP OD Individual | Optometrist | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 778-3950 |
| 1578964672 | M&M EYE INSTITUTE PLC Organization | Ophthalmology | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 778-3950 |
| 1437120334 | PRESCOTT EYE CARE & SURGICAL CENTER PC Organization | Clinic/Center (Ophthalmologic Surgery) | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 778-3950 |
| 1396221230 | DR. SHANE RYAN SANDERS OD Individual | Optometrist | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 445-1234 |
| 1861971046 | HIGH DESERT SURGERY CENTER, L.L.C. Organization | Neurological Surgery | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 212-1479 |
| 1639670870 | BRETT JAMES CHRISTENSEN OD Individual | Optometrist | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 445-1234 |
| 1992442438 | MATTHEW JAY HEPWORTH Individual | Optometrist | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 445-1234 |
| 1043909229 | DEREK JEANES Individual | Optometrist | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 445-1234 |
| 1487845764 | ARIZONA INSTITUTE OF EYE SURGERY LLC Organization | Ophthalmology | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 778-3950 |
| 1720278047 | ARIZONA INSTITUTE OF EYE SURGERY LLC Organization | Clinic/Center (Ambulatory Surgical) | 3192 WILLOW CREEK RD 3192 WILLOW CREEK ROAD PRESCOTT, AZ 86301 (928) 778-3950 |
| 1588407811 | DR. TYLER KEVIN OAKESON OD Individual | Optometrist | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 445-1234 |
| 1023901782 | CONNOR YOUNG Individual | Optometrist | 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 (928) 445-1234 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609344209, enumerated in the NPI registry as an "organization" on November 13, 2018
The provider is located at 3192 Willow Creek Rd Prescott, Az 86301 and the phone number is (928) 445-1234
This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X
The provider's CLIA number is 03D2159349 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 November 13, 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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