CAROLINA VISION ASSOCIATES, LLC
NPI 1134448806
Optometrist in Woodruff, SC

NPI Status: Active since May 20, 2010

Contact Information

363 E. GEORGIA ST
WOODRUFF, SC
ZIP 29388
Phone: (864) 476-8322
Fax: (864) 476-0752

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  • Organization
  • Optometrist
  • CLIA Number: 42D1056704
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 07-23-2026

About CAROLINA VISION ASSOCIATES, LLC

This page provides the complete NPI Profile along with additional information for Carolina Vision Associates, Llc, a provider established in Woodruff, South Carolina operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1134448806 assigned on May 2010. The practitioner's primary taxonomy code is 152W00000X with license number 1092 (SC). The provider is registered as an organization and their NPI record was last updated 13 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 authorized official of this NPI record is Kimberly Willard (Practice Administrator)

NPI
1134448806
Provider Name
CAROLINA VISION ASSOCIATES, LLC
Entity Type
Organization
Location Address
363 E. GEORGIA ST WOODRUFF, SC 29388
Location Phone
(864) 476-8322
Location Fax
(864) 476-0752
Mailing Address
180 N. DEAN STREET SPARTANBURG, SC 29302
Mailing Phone
(864) 583-3125
Mailing Fax
(864) 476-0752
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2010
Last Update Date
04-11-2013
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
1092
License State
SC
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:

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.

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

KIMBERLY WILLARD

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(864) 583-3125

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
4233070002MEDICARE NSC (07)SC 
DA9837MEDICAID (05)SC 

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
42D1056704
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
July 24, 2024
Certificate Expiration Date
July 23, 2026
Laboratory Director
MATTHEW LAMBERT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carolina Vision Associates, Llc 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.

Reviews for CAROLINA VISION ASSOCIATES, LLC

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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 1134448806, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 3 → 6 4 → 8 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 8 + 4 + 1 + 6 + 8 + 0 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1134448806.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134448806, enumerated as an "organization" on May 20, 2010.

The provider is located at 363 E. GEORGIA ST WOODRUFF, SC 29388 and the phone number is (864) 476-8322.

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.