GARY E. OLIVER O.D.
NPI 1720170251
Optometrist in Brookhaven, PA

NPI Status: Active since September 29, 2006

Contact Information

4590 EDGMONT AVE
BROOKHAVEN, PA
ZIP 19015
Phone: (610) 872-6077
Fax: (610) 872-2845

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  • Individual
  • Male
  • Optometrist

About GARY OLIVER

This page provides the complete NPI Profile along with additional information for Gary Oliver, a provider established in Brookhaven, Pennsylvania with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1720170251 assigned on September 2006. The practitioner's primary taxonomy code is 152W00000X with license number OEG001880 (PA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1720170251
Provider Name
GARY E. OLIVER O.D.
Gender
Male
Entity Type
Individual
Location Address
4590 EDGMONT AVE BROOKHAVEN, PA 19015
Location Phone
(610) 872-6077
Location Fax
(610) 872-2845
Mailing Address
4590 EDGMONT AVE BROOKHAVEN, PA 19015
Mailing Phone
(610) 872-6077
Mailing Fax
(610) 872-2845
Is Sole Proprietor?
No
Enumeration Date
09-29-2006
Last Update Date
02-01-2017
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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.
OEG001880
License State
PA
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)
1152W00000XEye and Vision Services Providers

Optometrist

TUV005129 (NY)

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.

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
C4258MEDICARE UPIN (02)NY 

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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.
1720170251
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740270210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 7 + 0 + 2 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1720170251 is valid because the calculated check digit 1 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
1669463535DR. CRAIG A CASSEY O.D.
Individual
Optometrist4590 EDGMONT AVE
BROOKHAVEN, PA 19015
(610) 872-6077
1598712127CRAIG A. CASSEY O D P C
Organization
Optometrist4590 EDGMONT AVE
BROOKHAVEN, PA 19015
(610) 872-6077
1821035759CASSEYS OPTICAL, INC
Organization
Durable Medical Equipment & Medical Supplies4590 EDGMONT AVE
BROOKHAVEN, PA 19015
(610) 872-2643

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720170251, enumerated in the NPI registry as an "individual" on September 29, 2006

The provider is located at 4590 Edgmont Ave Brookhaven, Pa 19015 and the phone number is (610) 872-6077

The provider's speciality is 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 September 29, 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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