CUSTOM EYES
NPI 1750650131
Clinic/Center in Springfield, OR
NPI Status: Active since December 14, 2011
- Organization
- Clinic/Center
About CUSTOM EYES
This page provides the complete NPI Profile along with additional information for Custom Eyes, a provider established in Springfield, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1750650131 assigned on December 2011. The practitioner's primary taxonomy code is 261Q00000X with license number 3484AT (OR). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Custom Eyes. The authorized official of this NPI record is Dr. Pam Ebert Od (Owner)
- NPI
- 1750650131
- Provider Legal Name
- PAM EBERT OD LLC
- Other Organization Name
- CUSTOM EYES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1871 2ND ST SPRINGFIELD, OR 97477
- Location Phone
- (541) 741-0122
- Mailing Address
- 1871 2ND ST SPRINGFIELD, OR 97477
- Mailing Phone
- (541) 741-0122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2011
- Last Update Date
- 06-29-2015
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 3484AT
- License State
- OR
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 |
|---|---|---|---|
| R174133 | OTHER (01) | OR | PTAN |
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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 | 7 | 5 | 0 | 6 | 5 | 0 | 1 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 5 | 0 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 5 + 0 + 1 + 6 + 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 = 1 | 1 | ||||||||
The NPI number 1750650131 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770615205 | DR. GERALD LEE CATES O.D. Individual | Optometrist | 1871 2ND ST SPRINGFIELD, OR 97477 (541) 741-0122 |
| 1780845610 | DR. JOANNA M GERVAIS O.D. Individual | Optometrist | 1871 2ND ST SPRINGFIELD, OR 97477 (541) 741-0122 |
| 1144556655 | JOANNA M GERVAIS OD LLC Organization | Optometrist | 1871 2ND ST SPRINGFIELD, OR 97477 (541) 741-0122 |
| 1124155528 | PAM EBERT O.D. Individual | Optometrist | 1871 2ND ST SPRINGFIELD, OR 97477 (541) 741-0122 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750650131, enumerated in the NPI registry as an "organization" on December 14, 2011
The provider is located at 1871 2nd St Springfield, Or 97477 and the phone number is (541) 741-0122
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
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 December 14, 2011. 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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