YAVAPAI OPTICAL LLC
NPI 1790310811
Eyewear Supplier in Prescott Valley, AZ

NPI Status: Active since March 09, 2020

Contact Information

7763 E FLORENTINE RD
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 775-9393
Fax: (928) 772-1279

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  • Organization
  • Eyewear Supplier

About YAVAPAI OPTICAL LLC

This page provides the complete NPI Profile along with additional information for Yavapai Optical Llc, a provider established in Prescott Valley, Arizona operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1790310811 assigned on March 2020. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated one year 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 Jared G Smedley Md (Authorized Official)

NPI
1790310811
Provider Name
YAVAPAI OPTICAL LLC
Entity Type
Organization
Location Address
7763 E FLORENTINE RD PRESCOTT VALLEY, AZ 86314
Location Phone
(928) 775-9393
Location Fax
(928) 772-1279
Mailing Address
7763 E FLORENTINE RD PRESCOTT VALLEY, AZ 86314
Mailing Phone
(928) 775-9393
Mailing Fax
(928) 772-1279
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2020
Last Update Date
04-19-2024
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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)
1156FX1800XEye and Vision Services Providers

Technician/Technologist
Optician

 

Group Taxonomy 193400000X MULTIPLE 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.

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

JARED G SMEDLEY MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(928) 775-9393

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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.
1790310811
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718061082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 6 + 1 + 0 + 8 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1790310811 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
1578844726SOUTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))7763 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
(928) 717-1800
1275168528YAVAPAI EYE CARE LLC
Organization
Clinic/Center7763 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
(801) 645-4572
1477188894YAVAPAI EYE ASSOCIATES PC
Organization
Optometrist7763 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
(928) 775-9393
1780662734DR. BRADLEY D PACKER O.D.
Individual
Optometrist7763 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314
(928) 775-9393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790310811, enumerated in the NPI registry as an "organization" on March 09, 2020

The provider is located at 7763 E Florentine Rd Prescott Valley, Az 86314 and the phone number is (928) 775-9393

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

This NPI record was last updated on March 09, 2020. 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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