MARC JAY GANNON OPTOMETRIST PA
NPI 1194974782
Optometrist - Low Vision Rehabilitation in Fort Lauderdale, FL

NPI Status: Active since September 18, 2008

Contact Information

2021 E COMMERCIAL BLVD
301
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 776-5223
Fax: (954) 491-0027

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  • Organization
  • Optometrist
  • Low Vision Rehabilitation

About MARC JAY GANNON OPTOMETRIST PA

This page provides the complete NPI Profile along with additional information for Marc Jay Gannon Optometrist Pa, a provider established in Fort Lauderdale, Florida operating as a Optometrist, focusing in low vision rehabilitation . The healthcare provider is registered in the NPI registry with number 1194974782 assigned on September 2008. The practitioner's primary taxonomy code is 152WL0500X with license number OPC1271 (FL). 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. Marc Jay Gannon O.d. (Director)

NPI
1194974782
Provider Name
MARC JAY GANNON OPTOMETRIST PA
Entity Type
Organization
Location Address
2021 E COMMERCIAL BLVD 301 FORT LAUDERDALE, FL 33308
Location Phone
(954) 776-5223
Location Fax
(954) 491-0027
Mailing Address
2021 E COMMERCIAL BLVD 301 FORT LAUDERDALE, FL 33308
Mailing Phone
(954) 776-5223
Mailing Fax
(954) 491-0027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-18-2008
Last Update Date
08-04-2009
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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 Low Vision Rehabilitation

Taxonomy Code
152WL0500X
Type
Eye and Vision Services Providers
License No.
OPC1271
License State
FL
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

DR. MARC JAY GANNON O.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(954) 776-5223

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
T84099MEDICARE UPIN (02) 
078390100MEDICAID (05)FL 

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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 1194974782, 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 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
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 9 → 18 → 9 4 → 8 8 → 16 → 7

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 + 1 + 8 + 7 + 8 + 7 + 1 + 6 + 24 = 78

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

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194974782.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Optometrist (Low Vision Rehabilitation)
2021 E COMMERCIAL BLVD, SUITE #301
FT LAUDERDALE, FL 33308
Psychiatry & Neurology (Neurology)
2021 E COMMERCIAL BLVD, SUITE 201
FORT LAUDERDALE, FL 33308
Psychiatry & Neurology (Neurology)
2021 E COMMERCIAL BLVD, STE 201
FT LAUDERDALE, FL 33308
Specialist
2021 E COMMERCIAL BLVD, SUITE 202
FORT LAUDERDALE, FL 33308
Specialist
2021 E COMMERCIAL BLVD, SUITE 202
FORT LAUDERDALE, FL 33308
Specialist
2021 E COMMERCIAL BLVD, SUITE 306
FORT LAUDERDALE, FL 33308
Internal Medicine (Gastroenterology)
2021 E COMMERCIAL BLVD, SUITE 202
FT LAUDERDALE, FL 33308
Specialist
2021 E COMMERCIAL BLVD, SUITE 202
FORT LAUDERDALE, FL 33308
Dentist (General Practice)
2021 E COMMERCIAL BLVD
FT LAUDERDALE, FL 33308
Neurological Surgery
2021 E COMMERCIAL BLVD, SUITE 201
FORT LAUDERDALE, FL 33308
Family Medicine
2021 E COMMERCIAL BLVD, SUITE 301
FORT LAUDERDALE, FL 33308
Allergy & Immunology
2021 E COMMERCIAL BLVD, SUITE 302
FORT LAUDERDALE, FL 33308
Family Medicine
2021 E COMMERCIAL BLVD, SUITE 301
FORT LAUDERDALE, FL 33308
Internal Medicine (Gastroenterology)
2021 E COMMERCIAL BLVD, SUITE 202
FORT LAUDERDALE, FL 33308
Family Medicine (Adult Medicine)
2021 E COMMERCIAL BLVD, SUITE 308
FT LAUDERDALE, FL 33308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194974782, enumerated as an "organization" on September 18, 2008.

The provider is located at 2021 E COMMERCIAL BLVD 301 FORT LAUDERDALE, FL 33308 and the phone number is (954) 776-5223.

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.