ADVANCED VISION WELLNESS CENTER
NPI 1134281355
Optometrist - Corneal and Contact Management in Medford, OR
NPI Status: Active since December 14, 2006
Contact Information
1251 E MCANDREWS RD
SUITE 100
MEDFORD, OR
ZIP 97504
Phone: (541) 779-1392
Fax: (541) 779-6531
- Organization
- Optometrist
- Corneal and Contact Management
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About ADVANCED VISION WELLNESS CENTER
This page provides the complete NPI Profile along with additional information for Advanced Vision Wellness Center, a provider established in Medford, Oregon operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1134281355 assigned on December 2006. The practitioner's primary taxonomy code is 152WC0802X with license number 1563ATI (OR). The provider is registered as an organization and their NPI record was last updated 18 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 Advanced Vision Wellness Center. The authorized official of this NPI record is Gerald Robert Starchvick O.d. (President)
- NPI
- 1134281355
- Provider Legal Name
- STARCHVICK OPTICAL INC
- Other Organization Name
- ADVANCED VISION WELLNESS CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1251 E MCANDREWS RD SUITE 100 MEDFORD, OR 97504
- Location Phone
- (541) 779-1392
- Location Fax
- (541) 779-6531
- Mailing Address
- 1251 E MCANDREWS RD SUITE 100 MEDFORD, OR 97504
- Mailing Phone
- (541) 779-1392
- Mailing Fax
- (541) 779-6531
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2006
- Last Update Date
- 04-20-2008
- Code Navigator
Advanced Vision Wellness Center is a medicare supplier with PTAN 20306333 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 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 Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- 1563ATI
- License State
- OR
- Taxonomy Description
- The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
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:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
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 |
|---|---|---|---|
| ========= | OTHER (01) | OR | EIN |
| R111687 | MEDICARE ID-TYPE UNSPECIFIED (04) | OR | |
| 212666 | OTHER (01) | OR | EYEMED |
| 4352280001 | MEDICARE NSC (07) | OR | |
| 271176 | MEDICAID (05) | OR |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20306333
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
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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 1134281355, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
MEDFORD, OR 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134281355, enumerated as an "organization" on December 14, 2006.
The provider is located at 1251 E MCANDREWS RD SUITE 100 MEDFORD, OR 97504 and the phone number is (541) 779-1392.
Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.
The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.
