BROAD STREET VISION CENTER
NPI 1235539099
Eyewear Supplier in Gastonia, NC

NPI Status: Active since August 29, 2014

Contact Information

406 S BROAD ST
SUITE A
GASTONIA, NC
ZIP 28054
Phone: (704) 865-3731
Fax: (704) 864-5736

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  • Organization
  • Eyewear Supplier

About BROAD STREET VISION CENTER

This page provides the complete NPI Profile along with additional information for Broad Street Vision Center, a provider established in Gastonia, North Carolina operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1235539099 assigned on August 2014. The practitioner's primary taxonomy code is 332H00000X with license number 0804 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Broad Street Vision Center. The authorized official of this NPI record is Fred S Cloninger (Owner)

NPI
1235539099
Provider Legal Name
FRED S CLONINGER OD
Other Organization Name
BROAD STREET VISION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
406 S BROAD ST SUITE A GASTONIA, NC 28054
Location Phone
(704) 865-3731
Location Fax
(704) 864-5736
Mailing Address
406 S BROAD ST SUITE A GASTONIA, NC 28054
Mailing Phone
(704) 865-3731
Mailing Fax
(704) 864-5736
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-29-2014
Last Update Date
08-29-2014
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
0804
License State
NC
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.

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

FRED S CLONINGER

Authorized Official Title
OWNER
Authorized Official Phone

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
8909163MEDICAID (05)NC 
0554550001MEDICARE PIN (08)NC 

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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 1235539099, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 3 → 6 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 1 + 0 + 3 + 1 + 8 + 0 + 1 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1235539099.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
406 S BROAD ST, SUITE A
GASTONIA, NC 28054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235539099, enumerated as an "organization" on August 29, 2014.

The provider is located at 406 S BROAD ST SUITE A GASTONIA, NC 28054 and the phone number is (704) 865-3731.

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.