TRISTATE PROFESSIONAL SERVICES INC
NPI 1194054452
Optometrist in Springfield, IL

NPI Status: Active since December 16, 2009

Contact Information

2760 N DIRKSEN PKWY
ATTN: WALMART VISION CTR
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 522-4396
Fax: (217) 522-4861

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  • Organization
  • Optometrist

About TRISTATE PROFESSIONAL SERVICES INC

This page provides the complete NPI Profile along with additional information for Tristate Professional Services Inc, a provider established in Springfield, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1194054452 assigned on December 2009. The practitioner's primary taxonomy code is 152W00000X with license number 046006399 (IL). 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 Dr. Robert P Edwards Od (President)

NPI
1194054452
Provider Name
TRISTATE PROFESSIONAL SERVICES INC
Entity Type
Organization
Location Address
2760 N DIRKSEN PKWY ATTN: WALMART VISION CTR SPRINGFIELD, IL 62702
Location Phone
(217) 522-4396
Location Fax
(217) 522-4861
Mailing Address
508 E JACKSON ST RIVERTON, IL 62561
Mailing Phone
(217) 259-8461
Mailing Fax
(217) 522-4861
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-16-2009
Last Update Date
12-16-2009
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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.
046006399
License State
IL
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.

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

DR. ROBERT P EDWARDS OD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(217) 259-8461

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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 1194054452, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
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 9 → 18 → 9 0 → 0 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 0 + 5 + 8 + 4 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194054452.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Pharmacy (Community/Retail Pharmacy)
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Eyewear Supplier
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194054452, enumerated as an "organization" on December 16, 2009.

The provider is located at 2760 N DIRKSEN PKWY ATTN: WALMART VISION CTR SPRINGFIELD, IL 62702 and the phone number is (217) 522-4396.

Optometrist with taxonomy code 152W00000X.