TRI STATE OCULAR PROSTHETICS, LLC
NPI 1205974516
Technician/Technologist - Ocularist in Cincinnati, OH
NPI Status: Active since February 01, 2007
Contact Information
130 TRI COUNTY PKWY
SUITE 201
CINCINNATI, OH
ZIP 45246
Phone: (513) 771-6029
Fax: (513) 771-6187
- Organization
- Technician/Technologist
- Ocularist
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About TRI STATE OCULAR PROSTHETICS, LLC
This page provides the complete NPI Profile along with additional information for Tri State Ocular Prosthetics, Llc, a provider established in Cincinnati, Ohio operating as a Technician/technologist, focusing in ocularist . The healthcare provider is registered in the NPI registry with number 1205974516 assigned on February 2007. The practitioner's primary taxonomy code is 156FX1700X with license number O.11 (OH). The provider is registered as an organization and their NPI record was last updated 10 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 Andrew W Hetzler B.c.o., B.a.d.o. (President)
- NPI
- 1205974516
- Provider Name
- TRI STATE OCULAR PROSTHETICS, LLC
- Entity Type
- Organization
- Location Address
- 130 TRI COUNTY PKWY SUITE 201 CINCINNATI, OH 45246
- Location Phone
- (513) 771-6029
- Location Fax
- (513) 771-6187
- Mailing Address
- 130 TRI COUNTY PKWY SUITE 201 CINCINNATI, OH 45246
- Mailing Phone
- (513) 771-6029
- Mailing Fax
- (513) 771-6187
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2007
- Last Update Date
- 07-11-2016
- Code Navigator
Tri State Ocular Prosthetics, Llc is a medicare supplier with PTAN 20565779 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: Ocular Prostheses.
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 Ocularist
- Taxonomy Code
- 156FX1700X
- Type
- Eye and Vision Services Providers
- License No.
- O.11
- License State
- OH
- Taxonomy Description
- An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.
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:
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Saver 7000 - HMO
- Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
- Molina Bronze Saver 7000 Plus with Adult Vision - HMO
- Molina Bronze Smart Heart Health - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Enhanced 895 - HMO
- Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
- Molina Gold Enhanced 895 Plus with Adult Vision - HMO
- Molina Gold Smart Heart Health - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
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.
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 |
|---|---|---|---|
| 7100005950 | MEDICAID (05) | KY | |
| 0063218 | MEDICAID (05) | OH | |
| ========= | OTHER (01) | TRICARE | |
| =========-00 | OTHER (01) | OH | OHIO BWC |
| 511527 | OTHER (01) | OH | ANTHEM |
| 5904390001 | MEDICARE NSC (07) | OH |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20565779
- Accepts Medicare Assignment
- NO
- Provider Type List
- OCULARISTS.
- Competitive Bidding
- NO
Supplies List
- Ocular Prostheses - Prosthetic eyes
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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 1205974516, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
CINCINNATI, OH 45246
SPRINGDALE, OH 45246
SPRINGDALE, OH 45246
CINCINNATI, OH 45246
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205974516, enumerated as an "organization" on February 01, 2007.
The provider is located at 130 TRI COUNTY PKWY SUITE 201 CINCINNATI, OH 45246 and the phone number is (513) 771-6029.
Technician/Technologist with taxonomy code 156FX1700X and a focus in Ocularist.
The provider might be accepting Accepts: Molina Healthcare, Medicare, Medicaid, Tricare and. Please consult your insurance carrier or call the provider to verify.
