LOYOLA UNIVERSITY MEDICAL CENTER
NPI 1073859104
Eyewear Supplier in Maywood, IL
NPI Status: Active since December 18, 2012
Contact Information
2160 S 1ST AVE
OUTPATIENT CENTER ROOM 1620
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9000
Fax: (708) 216-8059
- Organization
- Eyewear Supplier
- CLIA Number: 14D0882999
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-28-2026
About LOYOLA UNIVERSITY MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Loyola University Medical Center, a provider established in Maywood, Illinois operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1073859104 assigned on December 2012. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Larry M Goldberg (Ceo)
- NPI
- 1073859104
- Provider Name
- LOYOLA UNIVERSITY MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 2160 S 1ST AVE OUTPATIENT CENTER ROOM 1620 MAYWOOD, IL 60153
- Location Phone
- (708) 216-9000
- Location Fax
- (708) 216-8059
- Mailing Address
- 2160 S 1ST AVE OUTPATIENT CENTER ROOM 1620 MAYWOOD, IL 60153
- Mailing Phone
- (708) 216-9000
- Mailing Fax
- (708) 216-8059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2012
- Last Update Date
- 07-06-2015
- Code Navigator
Location Map
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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.
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 |
|---|---|---|---|
| 140276 | MEDICARE OSCAR/CERTIFICATION (06) | IL |
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
- 14D0882999
- Facility Type
- Hospital
- Certificate Effective Date
- October 29, 2024
- Certificate Expiration Date
- October 28, 2026
- Laboratory Director
- SARAH WAGNER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Loyola University Medical Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1073859104, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
MAYWOOD, IL 60153
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073859104, enumerated as an "organization" on December 18, 2012.
The provider is located at 2160 S 1ST AVE OUTPATIENT CENTER ROOM 1620 MAYWOOD, IL 60153 and the phone number is (708) 216-9000.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
