SHADY GROVE EYE & VISION CARE, LLC
NPI 1023103801
Optometrist in Rockville, MD

NPI Status: Active since October 04, 2006

Contact Information

15200 SHADY GROVE RD
SUITE 100
ROCKVILLE, MD
ZIP 20850
Phone: (301) 670-1212
Fax: (301) 216-9692

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  • Organization
  • Optometrist
  • CLIA Number: 21D0897300
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 01-31-2027

About SHADY GROVE EYE & VISION CARE, LLC

This page provides the complete NPI Profile along with additional information for Shady Grove Eye & Vision Care, Llc, a provider established in Rockville, Maryland operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1023103801 assigned on October 2006. The practitioner's primary taxonomy code is 152W00000X with license number TA1210 (MD). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Dr Alan N. Glazier Optometrist P.a.. The authorized official of this NPI record is Alan N Glazier Od (President)

NPI
1023103801
Provider Legal Name
SHADY GROVE EYE & VISION CARE, LLC
Other Organization Name
DR ALAN N. GLAZIER OPTOMETRIST P.A.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
15200 SHADY GROVE RD SUITE 100 ROCKVILLE, MD 20850
Location Phone
(301) 670-1212
Location Fax
(301) 216-9692
Mailing Address
15200 SHADY GROVE RD SUITE 100 ROCKVILLE, MD 20850
Mailing Phone
(301) 670-1212
Mailing Fax
(301) 216-9692
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
07-31-2024
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
TA1210
License State
MD
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

ALAN N GLAZIER OD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(301) 670-1212

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
21D0897300
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
February 01, 2025
Certificate Expiration Date
January 31, 2027
Laboratory Director
RAVI PASSI MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shady Grove Eye & Vision Care, Llc 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023103801, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 2 + 0 + 6 + 8 + 0 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1023103801.

Other Providers at the Same Location


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

Internal Medicine
15200 SHADY GROVE RD, SUITE 305
ROCKVILLE, MD 20850
Nurse Practitioner
15200 SHADY GROVE RD, SUITE 302
ROCKVILLE, MD 20850
Optometrist
15200 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 20850
Dentist (Pediatric Dentistry)
15200 SHADY GROVE RD, #450
ROCKVILLE, MD 20850
Clinic/Center (Ambulatory Surgical)
15200 SHADY GROVE RD, SUITE 302A
ROCKVILLE, MD 20850
Dentist (Pediatric Dentistry)
15200 SHADY GROVE RD, #450
ROCKVILLE, MD 20850
Optometrist
15200 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 20850
Dentist (Periodontics)
15200 SHADY GROVE RD, SUITE 440
ROCKVILLE, MD 20850
Chiropractor (Rehabilitation)
15200 SHADY GROVE RD, SUITE 211
ROCKVILLE, MD 20850
Chiropractor (Rehabilitation)
15200 SHADY GROVE RD, SUITE 211
ROCKVILLE, MD 20850
Dentist
15200 SHADY GROVE RD, SUITE H
ROCKVILLE, MD 20850
Optometrist
15200 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 20850
Preferred Provider Organization
15200 SHADY GROVE RD, SUITE #450
ROCKVILLE, MD 20850
Internal Medicine
15200 SHADY GROVE RD, SUITE#305
ROCKVILLE, MD 20850
Psychiatry & Neurology (Sleep Medicine)
15200 SHADY GROVE RD, SUITE 401
ROCKVILLE, MD 20850
Durable Medical Equipment & Medical Supplies
15200 SHADY GROVE RD, SUITE 401
ROCKVILLE, MD 20850
Dentist (General Practice)
15200 SHADY GROVE RD
ROCKVILLE, MD 20850
Optometrist
15200 SHADY GROVE RD, SUITE 100
ROCKVILLE, MD 20850
Specialist
15200 SHADY GROVE RD, SUITE 302
ROCKVILLE, MD 20850
Prosthetic/Orthotic Supplier
15200 SHADY GROVE RD, SUITE 106
ROCKVILLE, MD 20850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023103801, enumerated as an "organization" on October 04, 2006.

The provider is located at 15200 SHADY GROVE RD SUITE 100 ROCKVILLE, MD 20850 and the phone number is (301) 670-1212.

Optometrist with taxonomy code 152W00000X.