BRADY L WILBORN O.D.
NPI 1124025879
Optometrist in California, MO

NPI Status: Active since July 07, 2005

Contact Information

202 E NORTH ST
CALIFORNIA, MO
ZIP 65018
Phone: (573) 796-2222
Fax: (573) 796-4184

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  • Individual
  • Male
  • Optometrist

About BRADY WILBORN

This page provides the complete NPI Profile along with additional information for Brady Wilborn, a provider established in California, Missouri with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1124025879 assigned on July 2005. The practitioner's primary taxonomy code is 152W00000X with license number 168620 (MO). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1124025879
Provider Name
BRADY L WILBORN O.D.
Gender
Male
Entity Type
Individual
Location Address
202 E NORTH ST CALIFORNIA, MO 65018
Location Phone
(573) 796-2222
Location Fax
(573) 796-4184
Mailing Address
202 E NORTH ST CALIFORNIA, MO 65018
Mailing Phone
(573) 796-2222
Mailing Fax
(573) 796-4184
Is Sole Proprietor?
No
Enumeration Date
07-07-2005
Last Update Date
07-19-2007
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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.
168620
License State
MO
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

1608 (KS)

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
100406140BMEDICAID (05)KS 
650921MEDICARE ID-TYPE UNSPECIFIED (04)KS 
U87122MEDICARE UPIN (02)KS 

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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 1124025879, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 0 → 0 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 + 4 + 4 + 0 + 2 + 1 + 0 + 8 + 1 + 4 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124025879.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018
Optometrist
202 E NORTH ST
CALIFORNIA, MO 65018

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124025879, enumerated as an "individual" on July 07, 2005.

The provider is located at 202 E NORTH ST CALIFORNIA, MO 65018 and the phone number is (573) 796-2222.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.