L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR
NPI 1760558498
Optometrist in Modesto, CA

NPI Status: Active since November 27, 2006

Contact Information

3601 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 521-1028
Fax: (209) 521-7488

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  • Organization
  • Optometrist
  • Accepts Insurance

About L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR

This page provides the complete NPI Profile along with additional information for L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr, a provider established in Modesto, California operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1760558498 assigned on November 2006. The practitioner's primary taxonomy code is 152W00000X with license number FNP88 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. L Edward Elliott Od (Doctor Of Optometry)

NPI
1760558498
Provider Name
L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR
Entity Type
Organization
Location Address
3601 COFFEE RD MODESTO, CA 95355
Location Phone
(209) 521-1028
Location Fax
(209) 521-7488
Mailing Address
3601 COFFEE RD MODESTO, CA 95355
Mailing Phone
(209) 521-1028
Mailing Fax
(209) 521-7488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-27-2006
Last Update Date
02-01-2013
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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.
FNP88
License State
CA
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - 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. L EDWARD ELLIOTT OD

Authorized Official Title
DOCTOR OF OPTOMETRY
Authorized Official Phone
(209) 521-1028

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
YYY49873YMEDICARE PIN (08)CA 
0706260001MEDICARE NSC (07)CA 

Reviews for L EDWARD ELLIOTT ET AL PTR ELLIOTT L EDWARD GEN PTR

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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.
1760558498
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712010516418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 5 + 1 + 6 + 4 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1760558498 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598107195DR. CECILIA SZE KA TONG O.D.
Individual
Optometrist3601 COFFEE RD
MODESTO, CA 95355
(209) 521-1028
1427710706DR. GARRETT WILLIAM ELLIOTT OD
Individual
Optometrist3601 COFFEE RD
MODESTO, CA 95355
(209) 521-1028
1891415410MODESTO OPTOMETRIC VISION CENTER INC A PROFESSIONAL OPTOMETRIC CORP
Organization
Optometrist3601 COFFEE RD
MODESTO, CA 95355
(209) 521-1028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760558498, enumerated in the NPI registry as an "organization" on November 27, 2006

The provider is located at 3601 Coffee Rd Modesto, Ca 95355 and the phone number is (209) 521-1028

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, 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 November 27, 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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