CAROLINA FAMILY OPTOMETRY, PLLC
NPI 1639137888
Optometrist in Statesville, NC

NPI Status: Active since May 03, 2006

Contact Information

1116 CROSSROADS DR
STATESVILLE, NC
ZIP 28625
Phone: (704) 872-0616
Fax: (704) 872-6494

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  • Organization
  • Optometrist

About CAROLINA FAMILY OPTOMETRY, PLLC

This page provides the complete NPI Profile along with additional information for Carolina Family Optometry, Pllc, a provider established in Statesville, North Carolina operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1639137888 assigned on May 2006. The practitioner's primary taxonomy code is 152W00000X with license number 1887 (NC). The provider is registered as an organization and their NPI record was last updated 5 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. Jay Drennen Crim Od (Partner/owner)

NPI
1639137888
Provider Name
CAROLINA FAMILY OPTOMETRY, PLLC
Entity Type
Organization
Location Address
1116 CROSSROADS DR STATESVILLE, NC 28625
Location Phone
(704) 872-0616
Location Fax
(704) 872-6494
Mailing Address
1116 CROSSROADS DR STATESVILLE, NC 28625
Mailing Phone
(704) 872-0616
Mailing Fax
(704) 872-6494
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2006
Last Update Date
08-22-2020
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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.
1887
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.

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.

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. JAY DRENNEN CRIM OD

Authorized Official Title
PARTNER/OWNER
Authorized Official Phone
(704) 872-0616

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
015EXOTHER (01)NCGROUP NUMBER (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.
1639137888
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26692314816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 3 + 1 + 4 + 8 + 1 + 6 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1639137888 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043267305NATIONAL VISION, INC.
Organization
Eyewear Supplier1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 872-0509
1033351002EYE CARE UNLIMITED OPTOMETRISTS, PLLC
Organization
Optometrist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 872-0616
1013060763DR. JULI ANNE SWAIM OD
Individual
Optometrist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 872-0616
1497291538MRS. BETH BARBEE DAVIDSON RPH
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1447796495 PAULETTE DEAL RPH
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1326585423 CARLA NORMAN
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1851832992MRS. JULIE TROUTMAN HULIN
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1225563786 MOHAMMED MOUSTAFA
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9833
1750931457 COREY A WRIGHT PHARMD
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1326453044 JAMES LAMAR PRICE RPH
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1801663513WAL-MART STORES EAST, LP.
Organization
Technician/Technologist (Optician)1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 872-0509
1073927539DR. JOHN MEEKS PHARMD
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1710408786 PRIYA AMIN PHARM D
Individual
Pharmacist1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1376433037 LISA DIANA CALE
Individual
Student in an Organized Health Care Education/Training Program1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824
1770500936WAL-MART STORES EAST LP
Organization
Pharmacy (Community/Retail Pharmacy)1116 CROSSROADS DR
STATESVILLE, NC 28625
(704) 871-9824

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639137888, enumerated in the NPI registry as an "organization" on May 03, 2006

The provider is located at 1116 Crossroads Dr Statesville, Nc 28625 and the phone number is (704) 872-0616

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, 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 May 03, 2006. 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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