EYE ASSOCIATES GROUP, LLC
NPI 1144462235
Optometrist - Low Vision Rehabilitation in Fort Wayne, IN

NPI Status: Active since April 03, 2009

Contact Information

6208 CONSTITUTION DR STE B
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-0575
Fax: (260) 432-0835

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  • Organization
  • Optometrist
  • Low Vision Rehabilitation
  • CLIA Number: 15D1091608
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-04-2026

About EYE ASSOCIATES GROUP, LLC

This page provides the complete NPI Profile along with additional information for Eye Associates Group, Llc, a provider established in Fort Wayne, Indiana operating as a Optometrist, focusing in low vision rehabilitation . The healthcare provider is registered in the NPI registry with number 1144462235 assigned on April 2009. The practitioner's primary taxonomy code is 152WL0500X. The provider is registered as an organization and their NPI record was last updated 17 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 Shelley Teagle (Accounts Manager)

NPI
1144462235
Provider Name
EYE ASSOCIATES GROUP, LLC
Entity Type
Organization
Location Address
6208 CONSTITUTION DR STE B FORT WAYNE, IN 46804
Location Phone
(260) 432-0575
Location Fax
(260) 432-0835
Mailing Address
6208 CONSTITUTION DR STE B FORT WAYNE, IN 46804
Mailing Phone
(260) 432-0575
Mailing Fax
(260) 432-0835
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2009
Last Update Date
04-03-2009
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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 Low Vision Rehabilitation

Taxonomy Code
152WL0500X
Type
Eye and Vision Services Providers
Taxonomy Description
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

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

SHELLEY TEAGLE

Authorized Official Title
ACCOUNTS MANAGER
Authorized Official Phone
(765) 348-2020

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
200005400MEDICAID (05)IN 
668170MEDICARE PIN (08)IN 
1046420005MEDICARE NSC (07)IN 

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
15D1091608
Facility Type
Physician Office
Certificate Effective Date
November 05, 2024
Certificate Expiration Date
November 04, 2026
Laboratory Director
RICHARD L. WINDSOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eye Associates Group, 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.

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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 1144462235, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 4 → 8 4 → 8 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 8 + 6 + 4 + 2 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1144462235.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144462235, enumerated as an "organization" on April 03, 2009.

The provider is located at 6208 CONSTITUTION DR STE B FORT WAYNE, IN 46804 and the phone number is (260) 432-0575.

Optometrist with taxonomy code 152WL0500X and a focus in Low Vision Rehabilitation.

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