FAMILY VISION CLINIC
NPI 1104237601
Optometrist in Cody, WY

NPI Status: Active since May 19, 2014

Contact Information

1708 STAMPEDE AVE
CODY, WY
ZIP 82414
Phone: (307) 587-2404
Fax: (307) 527-7368

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About FAMILY VISION CLINIC

This page provides the complete NPI Profile along with additional information for Family Vision Clinic, a provider established in Cody, Wyoming operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1104237601 assigned on May 2014. The practitioner's primary taxonomy code is 152W00000X with license number 327T (WY). The provider is registered as an organization and their NPI record was last updated 12 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 is doing business as Family Vision Clinic. The authorized official of this NPI record is Dr. Jacob G Despain O.d. (Optometrist)

NPI
1104237601
Provider Legal Name
JACOB G. DESPAIN OD PC
Other Organization Name
FAMILY VISION CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1708 STAMPEDE AVE CODY, WY 82414
Location Phone
(307) 587-2404
Location Fax
(307) 527-7368
Mailing Address
1708 STAMPEDE AVE CODY, WY 82414
Mailing Phone
(307) 587-2404
Mailing Fax
(307) 527-7368
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2014
Last Update Date
05-19-2014
Code Navigator



Family Vision Clinic is a medicare supplier with PTAN 20497763 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
327T
License State
WY
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. JACOB G DESPAIN O.D.

Authorized Official Title
OPTOMETRIST
Authorized Official Phone
(307) 587-2404

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20497763
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

Reviews for FAMILY VISION CLINIC

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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 1104237601, 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
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 0 → 0 2 → 4 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 4 + 3 + 1 + 4 + 6 + 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 1104237601.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Optometrist
1708 STAMPEDE AVE
CODY, WY 82414
Optometrist
1708 STAMPEDE AVE
CODY, WY 82414
Optometrist
1708 STAMPEDE AVE
CODY, WY 82414
Chiropractor
1708 STAMPEDE AVE, SUITE C
CODY, WY 82414
Chiropractor
1708 STAMPEDE AVE, SUITE C
CODY, WY 82414
Chiropractor
1708 STAMPEDE AVE
CODY, WY 82414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104237601, enumerated as an "organization" on May 19, 2014.

The provider is located at 1708 STAMPEDE AVE CODY, WY 82414 and the phone number is (307) 587-2404.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming. Please consult your insurance carrier or call the provider to verify.