VISION CENTER 30-0690
NPI 1205919933
Technician/Technologist - Optician in Elizabethton, TN

NPI Status: Active since October 24, 2006

Contact Information

1001 OVER MOUNTAIN DR
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 543-8133

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Technician/Technologist
Optician
Accepts Insurance
Medicare Supplier
Does Not Accept Medicare Approved Payment

About VISION CENTER 30-0690

This page provides the complete NPI Profile along with additional information for Vision Center 30-0690, a provider established in Elizabethton, Tennessee operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1205919933 assigned on October 2006. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Vision Center 30-0690. The authorized official of this NPI record is Nicole D Gentile (Npi Coordinator)

NPI: 1205919933
Provider Legal Name: WAL-MART STORES EAST, LP
Other Organization Name: VISION CENTER 30-0690
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1001 OVER MOUNTAIN DR ELIZABETHTON, TN 37643
Location Phone: (423) 543-8133
Mailing Address: 702 SW 8TH ST. BENTONVILLE, AR 72716
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-24-2006
Last Update Date: 08-22-2020
Code Navigator

Vision Center 30-0690 is a medicare supplier with PTAN 20501519 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Ostomy Supplies or Prosthetic Lenses: Conventional Eyeglasses or Enteral Nutrients or Surgical Dressings.

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: Technician/Technologist Optician
Taxonomy Code: 156FX1800X
Type: Eye and Vision Services Providers
Taxonomy Description: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)

Group Taxonomy 193400000X MULTIPLE 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:

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 - PPO
Blue Max 90/70 $1500 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
Blue Saver 60/40 $6100 - PPO
Blue Saver 90/70 $3200 - PPO

*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: NICOLE D GENTILE
Authorized Official Title: NPI COORDINATOR
Authorized Official Phone: (316) 788-5580

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20501519
Accepts Medicare Assignment: NO
Specialities List: Pharmacy, Optician.
Competitive Bidding: NO

Supplies List

Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs -
Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs - FDA anticancer drugs
Oral Antiemetic Drugs - FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
Enteral Nutrients - Enteral formula
Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	0	5	9	1	9	9	3	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	0	5	18	1	18	9	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 1 + 1 + 8 + 9 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1205919933 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.