MAPLESHADE VISION CENTER INC.
NPI 1891820312
Optometrist in Dunlap, IL

NPI Status: Active since February 23, 2007

Contact Information

11825 STATE ROUTE 40
SUITE 101
DUNLAP, IL
ZIP 61525
Phone: (309) 243-5900
Fax: (309) 243-9852

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  • Organization
  • Optometrist

About MAPLESHADE VISION CENTER INC.

This page provides the complete NPI Profile along with additional information for Mapleshade Vision Center Inc., a provider established in Dunlap, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1891820312 assigned on February 2007. The practitioner's primary taxonomy code is 152W00000X with license number 0460088755 (IL). The provider is registered as an organization and their NPI record was last updated 18 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. Gaylan Wayne Moushon O.d. (Owner)

NPI
1891820312
Provider Name
MAPLESHADE VISION CENTER INC.
Entity Type
Organization
Location Address
11825 STATE ROUTE 40 SUITE 101 DUNLAP, IL 61525
Location Phone
(309) 243-5900
Location Fax
(309) 243-9852
Mailing Address
11825 STATE ROUTE 40 SUITE 101 DUNLAP, IL 61525
Mailing Phone
(309) 243-5900
Mailing Fax
(309) 243-9852
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2007
Last Update Date
08-01-2007
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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.
0460088755
License State
IL
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.

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. GAYLAN WAYNE MOUSHON O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(309) 243-5900

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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.
1891820312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181162032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 1 + 6 + 2 + 0 + 3 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1891820312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811028848 NIZAR N MERHEB
Individual
Dentist (Oral and Maxillofacial Surgery)11825 STATE ROUTE 40
DUNLAP, IL 61525
(309) 243-8980
1417138421DR. ERIN PATRICK SHANAHAN DMD
Individual
Dentist11825 STATE ROUTE 40
DUNLAP, IL 61525
(309) 243-7702
1255512273DR. GEORGE M. DUNCAN DDS
Individual
Dentist11825 STATE ROUTE 40 SUITE 100
DUNLAP, IL 61525
(309) 243-8980
1740518380ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC
Organization
Dentist11825 STATE ROUTE 40
DUNLAP, IL 61525
(309) 243-9239
1265887210JACKSON SLEEP CENTERS PLLC
Organization
Dentist11825 STATE ROUTE 40 SUITE 100
DUNLAP, IL 61525
(309) 839-9971
1144409806DR. RODNEY EARL WILLEY DDS
Individual
Dentist11825 STATE ROUTE 40 SUITE 100
DUNLAP, IL 61525
(309) 243-8980
1134416795MAPLE SHADE DENTAL (DUNLAP) LLC
Organization
Dentist11825 STATE ROUTE 40 SUITE 200
DUNLAP, IL 61525
(309) 243-7702
1598815359 TIMOTHY EARL RUFFNER D.D.S.
Individual
Dentist (General Practice)11825 STATE ROUTE 40
DUNLAP, IL 61525
(309) 243-7702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891820312, enumerated in the NPI registry as an "organization" on February 23, 2007

The provider is located at 11825 State Route 40 Suite 101 Dunlap, Il 61525 and the phone number is (309) 243-5900

This medical organization specializes in Optometrist with taxonomy code 152W00000X

This NPI record was last updated on February 23, 2007. 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.