BELOIT FAMILY EYE CARE S.C.
NPI 1780976647
Optometrist in Beloit, WI

NPI Status: Active since May 11, 2011

Contact Information

540 E GRAND AVE
BELOIT, WI
ZIP 53511
Phone: (608) 365-8575
Fax: (608) 362-2655

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  • Organization
  • Optometrist
  • Accepts Insurance

About BELOIT FAMILY EYE CARE S.C.

This page provides the complete NPI Profile along with additional information for Beloit Family Eye Care S.c., a provider established in Beloit, Wisconsin operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1780976647 assigned on May 2011. The practitioner's primary taxonomy code is 152W00000X with license number 3136-035 (WI). The provider is registered as an organization and their NPI record was last updated 14 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. Douglas Edward Kelley Od (Manager)

NPI
1780976647
Provider Name
BELOIT FAMILY EYE CARE S.C.
Entity Type
Organization
Location Address
540 E GRAND AVE BELOIT, WI 53511
Location Phone
(608) 365-8575
Location Fax
(608) 362-2655
Mailing Address
540 E GRAND AVE BELOIT, WI 53511
Mailing Phone
(608) 365-8575
Mailing Fax
(608) 362-2655
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2011
Last Update Date
08-17-2011
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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.
3136-035
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:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO

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. DOUGLAS EDWARD KELLEY OD

Authorized Official Title
MANAGER
Authorized Official Phone
(608) 365-8575

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
WI2416MEDICARE PIN (08)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.
1780976647
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601871268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 8 + 7 + 1 + 2 + 6 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1780976647 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033376090DR. DOUGLAS EDWARD KELLEY OD
Individual
Optometrist540 E GRAND AVE
BELOIT, WI 53511
(608) 365-8575
1821510595 JENNIFFER BEU LPC
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1740704287 MELONY DAWN WALSH MS ED, LPC-IT
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1407401771 AMBERLY JEAN MIXON APSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1982986261 STEPHANIE SISSON
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1396376851 NICOLETTE ANN MILLER LCSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1407345903 BRIELLE EVELYN POWERS MSW, APSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1568853091 DAVID FISCHER LCSW
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1740896885MS. TAYLOR LEIBFRIED
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1396413944 SABRINA MEICHTRY APSW
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1679241228 KAYLA KIND LPC
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1851083356 KEIKO ENGEL
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1316714223 HEATHER JOHNSON APSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1952172272 JENNIFER ELLENSON
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1831950286 SAMANTHA L EVERSON APSW
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1891546719 SKYLAR KROPLE LPC
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1073228607 SARAH JANE PETERSEN LCSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1821817651 JESSICA LYNN HEFTY PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1750193835 LINDSEY FRIEDRICH LCSW
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1538792387 KELLY BAILEY LCSW
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780976647, enumerated in the NPI registry as an "organization" on May 11, 2011

The provider is located at 540 E Grand Ave Beloit, Wi 53511 and the phone number is (608) 365-8575

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Quartz,. 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 11, 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].
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.