ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP
NPI 1306035118
Optometrist in Glendale, CA

NPI Status: Active since October 17, 2007

Contact Information

330 N BRAND BLVD
SUITE 110
GLENDALE, CA
ZIP 91203
Phone: (818) 240-0890
Fax: (808) 246-2540

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  • Organization
  • Optometrist
  • Accepts Insurance

About ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP

This page provides the complete NPI Profile along with additional information for Advanced Eyecare Professional Optometric Group, a provider established in Glendale, California operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1306035118 assigned on October 2007. The practitioner's primary taxonomy code is 152W00000X with license number OPT9869 (CA). The provider is registered as an organization and their NPI record was last updated 17 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 Dr. Ronald V Black O.d. (Owner)

NPI
1306035118
Provider Name
ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP
Entity Type
Organization
Location Address
330 N BRAND BLVD SUITE 110 GLENDALE, CA 91203
Location Phone
(818) 240-0890
Location Fax
(808) 246-2540
Mailing Address
330 N BRAND BLVD SUITE 110 GLENDALE, CA 91203
Mailing Phone
(818) 240-0890
Mailing Fax
(808) 246-2540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2007
Last Update Date
09-21-2009
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
OPT9869
License State
CA
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

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:

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 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.

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

DR. RONALD V BLACK O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(818) 240-0890

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
6191070001MEDICARE NSC (07)CA 
DP2509MEDICARE PIN (08)CA 
1306035118MEDICAID (05)CA 
BF492AMEDICARE PIN (08)CA 
BR184MEDICARE PIN (08)CA 

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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 1306035118, we treat the final digit (8) 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 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 0 + 3 + 1 + 0 + 1 + 2 + 24 = 42

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

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1306035118.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Preventive Medicine (Public Health & General Preventive Medicine)
330 N BRAND BLVD
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, #110
GLENDALE, CA 91203
Physiological Laboratory
330 N BRAND BLVD, SUITE 180
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Optometrist
330 N BRAND BLVD, SUITE 110
GLENDALE, CA 91203
Pharmacist
330 N BRAND BLVD
GLENDALE, CA 91203
Internal Medicine
330 N BRAND BLVD
GLENDALE, CA 91203
Health and Wellness Coach
330 N BRAND BLVD
GLENDALE, CA 91203
Psychiatry & Neurology (Psychiatry)
330 N BRAND BLVD
GLENDALE, CA 91203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306035118, enumerated as an "organization" on October 17, 2007.

The provider is located at 330 N BRAND BLVD SUITE 110 GLENDALE, CA 91203 and the phone number is (818) 240-0890.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.