BAYCARE CLINIC, LLP
NPI 1639442932
Optometrist in Oshkosh, WI

NPI Status: Active since February 16, 2012

Contact Information

503 DOCTORS CT
OSHKOSH, WI
ZIP 54901
Phone: (877) 462-9465
Fax: (920) 327-7005

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  • Organization
  • Optometrist
  • Accepts Insurance

About BAYCARE CLINIC, LLP

This page provides the complete NPI Profile along with additional information for Baycare Clinic, Llp, a provider established in Oshkosh, Wisconsin operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1639442932 assigned on February 2012. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Mr. Chris Jay Augustian C.p.a (Chief Executive Officer)

NPI
1639442932
Provider Name
BAYCARE CLINIC, LLP
Entity Type
Organization
Location Address
503 DOCTORS CT OSHKOSH, WI 54901
Location Phone
(877) 462-9465
Location Fax
(920) 327-7005
Mailing Address
PO BOX 28900 GREEN BAY, WI 54324
Mailing Phone
(920) 490-9046
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2012
Last Update Date
04-20-2022
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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 State
WI
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:

  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
  • CGHC Gold Standard $1500 - Envision Network - EPO
  • CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
  • CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Silver Standard $5000 - Envision Network - EPO
  • CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO

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

MR. CHRIS JAY AUGUSTIAN C.P.A

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(920) 405-5382

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
1588609648MEDICAID (05)WI 

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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.
1639442932
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266984496
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 4 + 4 + 9 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1639442932 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386753523DR. STEPHEN SHERMAN DUDLEY M.D.
Individual
Ophthalmology503 DOCTORS CT
OSHKOSH, WI 54901
(920) 236-3540
1003925892EYE CLINIC OF THE FOX VALLEY SC
Organization
Optometrist503 DOCTORS CT
OSHKOSH, WI 54901
(920) 236-3540
1669524633EYE CLINIC OF THE FOX VALLEY SC
Organization
Eyewear Supplier503 DOCTORS CT
OSHKOSH, WI 54901
(920) 236-3540

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639442932, enumerated in the NPI registry as an "organization" on February 16, 2012

The provider is located at 503 Doctors Ct Oshkosh, Wi 54901 and the phone number is (877) 462-9465

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Medicare and. 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 February 16, 2012. 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.