ACTIVE EYECARE OF SURPRISE
NPI 1295100204
Clinic/Center in Surprise, AZ
NPI Status: Active since December 02, 2015
Contact Information
16968 W BELL RD
SUITE 402
SURPRISE, AZ
ZIP 85374
Phone: (623) 214-0353
Fax: (623) 214-0693
- Organization
- Clinic/Center
- Accepts Insurance
About ACTIVE EYECARE OF SURPRISE
This page provides the complete NPI Profile along with additional information for Active Eyecare Of Surprise, a provider established in Surprise, Arizona operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1295100204 assigned on December 2015. The practitioner's primary taxonomy code is 261Q00000X with license number 1117 (AZ). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Active Eyecare Of Surprise. The authorized official of this NPI record is Dr. Mark Edward Fechtel Od (Owner)
- NPI
- 1295100204
- Provider Legal Name
- ACTIVE EYECARE LLC
- Other Organization Name
- ACTIVE EYECARE OF SURPRISE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 16968 W BELL RD SUITE 402 SURPRISE, AZ 85374
- Location Phone
- (623) 214-0353
- Location Fax
- (623) 214-0693
- Mailing Address
- 16968 W BELL RD SUITE 402 SURPRISE, AZ 85374
- Mailing Phone
- (623) 214-0353
- Mailing Fax
- (623) 214-0693
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-02-2015
- Last Update Date
- 12-02-2015
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1117
- License State
- AZ
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
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 |
|---|---|---|---|
| 084779 | MEDICARE UPIN (02) | AZ | |
| 65440 | MEDICARE PIN (08) | AZ |
Reviews for ACTIVE EYECARE OF SURPRISE
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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 | 9 | 5 | 1 | 0 | 0 | 2 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 2 | 0 | 0 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 2 + 0 + 0 + 2 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1295100204 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
DR. SCOTT MICHAEL GILBERT D.P.T.
Specialist
16968 W BELL RD
BUILDING D SUITE 401
SURPRISE, AZ
ZIP 85374
CANYON PHYSICAL THERAPY, INC.
Specialist
16968 W BELL RD
BUILDING D SUITE 401
SURPRISE, AZ
ZIP 85374
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295100204, enumerated as an "organization" on December 02, 2015.
The provider is located at 16968 W BELL RD SUITE 402 SURPRISE, AZ 85374 and the phone number is (623) 214-0353.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.
