SOUTHWEST VIRGINIA EYE CENTER
NPI 1861651507
Ophthalmology in Roanoke, VA

NPI Status: Active since June 06, 2008

Contact Information

3090 ELECTRIC RD
FSUITE B
ROANOKE, VA
ZIP 24018
Phone: (540) 772-3978
Fax: (540) 400-0001

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  • Organization
  • Ophthalmology
  • CLIA Number: 49D2040752
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-08-2026

About SOUTHWEST VIRGINIA EYE CENTER

This page provides the complete NPI Profile along with additional information for Southwest Virginia Eye Center, a provider established in Roanoke, Virginia operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1861651507 assigned on June 2008. The practitioner's primary taxonomy code is 207W00000X with license number 0101040106 (VA). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Southwest Virginia Eye Center. The authorized official of this NPI record is Dr. Jonathan Stanwood Till Md (Owner)

NPI
1861651507
Provider Legal Name
SOUTHWEST VIRGINIA EYE CENTER, PLLC
Other Organization Name
SOUTHWEST VIRGINIA EYE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3090 ELECTRIC RD FSUITE B ROANOKE, VA 24018
Location Phone
(540) 772-3978
Location Fax
(540) 400-0001
Mailing Address
3090 ELECTRIC RD FSUITE B ROANOKE, VA 24018
Mailing Phone
(540) 772-3978
Mailing Fax
(540) 400-0001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2008
Last Update Date
06-06-2008
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Ophthalmologists like Southwest Virginia Eye Center specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

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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

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101040106
License State
VA
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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.

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. JONATHAN STANWOOD TILL MD

Authorized Official Title
OWNER
Authorized Official Phone
(540) 772-3978

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2040752
Facility Type
Physician Office
Certificate Effective Date
May 09, 2024
Certificate Expiration Date
May 08, 2026
Laboratory Director
JONATHAN S. TILL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southwest Virginia Eye Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1861651507
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121125250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 2 + 5 + 2 + 5 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1861651507 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851449912DR. LINDA GARBACIK TILL D.D.S.
Individual
Dentist (Periodontics)3090 ELECTRIC RD SUITE A
ROANOKE, VA 24018
(540) 772-3940
1497726475DR. JONATHAN TILL MD
Individual
Ophthalmology3090 ELECTRIC RD SUITE B
ROANOKE, VA 24018
(540) 772-3978

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861651507, enumerated in the NPI registry as an "organization" on June 06, 2008

The provider is located at 3090 Electric Rd Fsuite B Roanoke, Va 24018 and the phone number is (540) 772-3978

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

The provider's CLIA number is 49D2040752 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 06, 2008. 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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