EYECARE MEDICAL GROUP OPTICAL SHOP
NPI 1184729915
Eyewear Supplier in Portland, ME
NPI Status: Active since September 14, 2006
Contact Information
53 SEWALL STREET
PORTLAND, ME
ZIP 04102
Phone: (207) 828-2020
Fax: (207) 773-7034
- Organization
- Eyewear Supplier
- CLIA Number: 20D0992976
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-30-2027
About EYECARE MEDICAL GROUP OPTICAL SHOP
This page provides the complete NPI Profile along with additional information for Eyecare Medical Group Optical Shop, a provider established in Portland, Maine operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1184729915 assigned on September 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Lynn Shorty Rn, Cmpe (Chief Operating Offier)
- NPI
- 1184729915
- Provider Name
- EYECARE MEDICAL GROUP OPTICAL SHOP
- Entity Type
- Organization
- Location Address
- 53 SEWALL STREET PORTLAND, ME 04102
- Location Phone
- (207) 828-2020
- Location Fax
- (207) 773-7034
- Mailing Address
- 53 SEWALL STREET PORTLAND, ME 04102
- Mailing Phone
- (207) 773-9597
- Mailing Fax
- (207) 773-7034
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2006
- Last Update Date
- 07-31-2023
- Code Navigator
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
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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 |
|---|---|---|---|
| 109280300 | MEDICAID (05) | ME |
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
- 20D0992976
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 31, 2025
- Certificate Expiration Date
- October 30, 2027
- Laboratory Director
- ROBERT W. DALY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eyecare Medical Group Optical Shop 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 1184729915, 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.
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184729915, enumerated as an "organization" on September 14, 2006.
The provider is located at 53 SEWALL STREET PORTLAND, ME 04102 and the phone number is (207) 828-2020.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
