EYECARE OF SAN DIEGO
NPI 1245498401
Eyewear Supplier in San Diego, CA

NPI Status: Active since May 23, 2008

Contact Information

3939 3RD AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 296-8525
Fax: (619) 692-0229

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Eyewear Supplier

About EYECARE OF SAN DIEGO

This page provides the complete NPI Profile along with additional information for Eyecare Of San Diego, a provider established in San Diego, California operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1245498401 assigned on May 2008. The practitioner's primary taxonomy code is 332H00000X with license number G51651 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Eyecare Of San Diego. The authorized official of this NPI record is John E Bokosky Md (Owner)

NPI: 1245498401
Provider Legal Name: JOHN E BOKOSKY MD FACS INC
Other Organization Name: EYECARE OF SAN DIEGO
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 3939 3RD AVE SAN DIEGO, CA 92103
Location Phone: (619) 296-8525
Location Fax: (619) 692-0229
Mailing Address: 3939 3RD AVE SAN DIEGO, CA 92103
Mailing Phone: (619) 296-8525
Mailing Fax: (619) 692-0229
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-23-2008
Last Update Date: 05-23-2008
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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.: G51651
License State: CA
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:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: JOHN E BOKOSKY MD
Authorized Official Title: OWNER
Authorized Official Phone: (619) 296-8525

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
3973840001	MEDICARE NSC (07)	CA

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	4	5	4	9	8	4	0	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	8	5	8	9	16	4	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 8 + 9 + 1 + 6 + 4 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1245498401 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.