SEIDENBERG PROTZKO EYE ASSOCIATES
NPI 1114355377
Eyewear Supplier in Elkton, MD

NPI Status: Active since October 28, 2013

Contact Information

360 E PULASKI HWY
SUITE 1
ELKTON, MD
ZIP 21921
Phone: (410) 620-3600
Fax: (410) 620-3838

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  • Organization
  • Eyewear Supplier
  • CLIA Number: 21D2046847
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-11-2026

About SEIDENBERG PROTZKO EYE ASSOCIATES

This page provides the complete NPI Profile along with additional information for Seidenberg Protzko Eye Associates, a provider established in Elkton, Maryland operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1114355377 assigned on October 2013. The practitioner's primary taxonomy code is 332H00000X with license number TA1239 (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Rebecca L Brandis (Billing Manager)

NPI
1114355377
Provider Name
SEIDENBERG PROTZKO EYE ASSOCIATES
Entity Type
Organization
Location Address
360 E PULASKI HWY SUITE 1 ELKTON, MD 21921
Location Phone
(410) 620-3600
Location Fax
(410) 620-3838
Mailing Address
2023 PULASKI HWY HAVRE DE GRACE, MD 21078
Mailing Phone
(410) 939-6477
Mailing Fax
(410) 620-3838
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2013
Last Update Date
11-07-2013
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
TA1239
License State
MD
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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

MRS. REBECCA L BRANDIS

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(410) 942-9476

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
21D2046847
Facility Type
Physician Office
Certificate Effective Date
September 12, 2024
Certificate Expiration Date
September 11, 2026
Laboratory Director
DR. EUGENE PROTZKO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Seidenberg Protzko Eye Associates 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 1114355377, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 1 → 2 3 → 6 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 6 + 5 + 1 + 0 + 3 + 1 + 4 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114355377.

Other Providers at the Same Location


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

Durable Medical Equipment & Medical Supplies
360 E PULASKI HWY, SUITE 5B
ELKTON, MD 21921
Optometrist
360 E PULASKI HWY, SUITE 1B
ELKTON, MD 21921
Physical Therapist
360 E PULASKI HWY, SUITE 5B
ELKTON, MD 21921
Occupational Therapist
360 E PULASKI HWY, SUITE B
ELKTON, MD 21921
Optometrist
360 E PULASKI HWY
ELKTON, MD 21921
Physical Therapist
360 E PULASKI HWY
ELKTON, MD 21921
Optometrist
360 E PULASKI HWY, 1B
ELKTON, MD 21921
Optometrist
360 E PULASKI HWY
ELKTON, MD 21921

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114355377, enumerated as an "organization" on October 28, 2013.

The provider is located at 360 E PULASKI HWY SUITE 1 ELKTON, MD 21921 and the phone number is (410) 620-3600.

Eyewear Supplier with taxonomy code 332H00000X.