RICHARD O'CONNOR OD
NPI 1104869643
Optometrist in Elma, NY

NPI Status: Active since June 13, 2006

Contact Information

980 WEST MAPLE COURT
ELMA, NY
ZIP 14059
Phone: (716) 652-0870
Fax: (716) 652-2071

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Optometrist
Opted-Out Medicare

About RICHARD O'CONNOR

This page provides the complete NPI Profile along with additional information for Richard O'connor, a provider established in Elma, New York with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1104869643 assigned on June 2006. The practitioner's primary taxonomy code is 152W00000X with license number 03521 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI: 1104869643
Provider Name: RICHARD O'CONNOR OD
Gender: Male
Entity Type: Individual
Location Address: 980 WEST MAPLE COURT ELMA, NY 14059
Location Phone: (716) 652-0870
Location Fax: (716) 652-2071
Mailing Address: 980 WEST MAPLE COURT ELMA, NY 14059
Mailing Phone: (716) 652-0870
Mailing Fax: (716) 652-2071
Is Sole Proprietor?: No
Enumeration Date: 06-13-2006
Last Update Date: 02-09-2012
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Richard O'connor opted out of Medicare effective on 01-18-2023 until 01-18-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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.: 03521
License State: NY
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.

Insurance Plans Accepted

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

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
T86328	MEDICARE UPIN (02)	NY
A67903	MEDICARE ID-TYPE UNSPECIFIED (04)	NY

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-18-2023
Opt-Out End Date: 01-18-2027
Eligible to Order and Refer? No

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.
1	1	0	4	8	6	9	6	4	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	0	4	16	6	18	6	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 6 + 1 + 8 + 6 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1104869643 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.