SOUTH FORK OPTOMETRIC ASSOCIATES, P.A.
NPI 1619366507
Optometrist in Charlotte, NC
NPI Status: Active since January 14, 2015
Contact Information
9820 CALLABRIDGE CT
CHARLOTTE, NC
ZIP 28216
Phone: (704) 394-3886
- Organization
- Optometrist
About SOUTH FORK OPTOMETRIC ASSOCIATES, P.A.
This page provides the complete NPI Profile along with additional information for South Fork Optometric Associates, P.a., a provider established in Charlotte, North Carolina operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1619366507 assigned on January 2015. The practitioner's primary taxonomy code is 152W00000X with license number 2328 (NC). The provider is registered as an organization and their NPI record was last updated 11 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 Joseph Faulk (President)
- NPI
- 1619366507
- Provider Name
- SOUTH FORK OPTOMETRIC ASSOCIATES, P.A.
- Entity Type
- Organization
- Location Address
- 9820 CALLABRIDGE CT CHARLOTTE, NC 28216
- Location Phone
- (704) 394-3886
- Mailing Address
- 307 ETHAN LN BELMONT, NC 28012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-14-2015
- Last Update Date
- 01-14-2015
- Code Navigator
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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 2328
- License State
- NC
- 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.
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 | 152W00000X | Eye and Vision Services Providers | Optometrist | 2255 (NC) |
Group Taxonomy 193400000X MULTIPLE 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.
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 |
|---|---|---|---|
| 17174 | OTHER (01) | NC | AVESIS |
| 02917 | OTHER (01) | NC | DAVIS |
| A16758 | OTHER (01) | NC | EYEMED |
| 0938G | OTHER (01) | NC | BCBS |
| A12474 | OTHER (01) | NC | EYEMED |
| 1741X | OTHER (01) | NC | BCBS |
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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 | 1 | 9 | 3 | 6 | 6 | 5 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 6 | 6 | 12 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 6 + 6 + 1 + 2 + 5 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1619366507 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174747836 | MS. WILLANE A. WYLIE O.D. Individual | Optometrist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 398-9115 |
| 1952635278 | WILLANE A. WYLIE, O.D. & ASSOCIATES, P.A. Organization | Optometrist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 398-9115 |
| 1285910786 | MARIA ALEJANDRA FAULK O.D. Individual | Optometrist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 394-3886 |
| 1124491840 | TRAVIS OBANNON PHARM D. Individual | Pharmacist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 392-3131 |
| 1366531238 | WAL-MART STORES EAST, LP Organization | Technician/Technologist (Optician) | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 392-3338 |
| 1306518253 | GEORGIA OWUSU Individual | Pharmacist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 392-3131 |
| 1104200963 | MICHELLE DEBRA PIWOWAR Individual | Pharmacist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 392-3131 |
| 1841011160 | DR. VANTONILE VIEN LAFFEY PHARMD Individual | Pharmacist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 392-3131 |
| 1043767387 | JANA NEUMANN MINCHEW Individual | Pharmacist | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 392-3131 |
| 1174540314 | WAL-MART STORES EAST LP Organization | Pharmacy (Community/Retail Pharmacy) | 9820 CALLABRIDGE CT CHARLOTTE, NC 28216 (704) 392-3131 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619366507, enumerated in the NPI registry as an "organization" on January 14, 2015
The provider is located at 9820 Callabridge Ct Charlotte, Nc 28216 and the phone number is (704) 394-3886
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 January 14, 2015. 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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