DR. EDWARD STEVEN WYGONIK O.D.
NPI 1306819636
Optometrist in Saint Johns, FL
NPI Status: Active since February 08, 2006
Contact Information
108 DRUMELLAN CT
SAINT JOHNS, FL
ZIP 32259
Phone: (412) 719-5926
- Individual
- Male
- Optometrist
- Accepts Insurance
- PECOS Enrolled
About EDWARD WYGONIK
This page provides the complete NPI Profile along with additional information for Edward Wygonik, a provider established in Saint Johns, Florida with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1306819636 assigned on February 2006. The practitioner's primary taxonomy code is 152W00000X with license number OPC 4250 (FL). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1306819636
- Provider Name
- DR. EDWARD STEVEN WYGONIK O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 108 DRUMELLAN CT SAINT JOHNS, FL 32259
- Location Phone
- (412) 719-5926
- Mailing Address
- 108 DRUMELLAN CT SAINT JOHNS, FL 32259
- Mailing Phone
- (412) 719-5926
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-08-2006
- Last Update Date
- 06-01-2009
- 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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- OPC 4250
- License State
- FL
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | OEG-000812 (PA) |
| 2 | 152W00000X | Eye and Vision Services Providers | Optometrist | 5350/T2259 (OH) |
| 3 | 152WC0802X | Eye and Vision Services Providers | Optometrist | OPC 4250 (FL) |
| 4 | 152WC0802X | Eye and Vision Services Providers | Optometrist | OEG-000812 (PA) |
| 5 | 152WC0802X | Eye and Vision Services Providers | Optometrist | 5350/T2259 (OH) |
| 6 | 152WP0200X | Eye and Vision Services Providers | Optometrist | OPC 4250 (FL) |
| 7 | 152WP0200X | Eye and Vision Services Providers | Optometrist | OEG-000812 (PA) |
| 8 | 152WP0200X | Eye and Vision Services Providers | Optometrist | 5350/T2259 (OH) |
| 9 | 152WS0006X | Eye and Vision Services Providers | Optometrist | OPC 4250 (FL) |
| 10 | 152WS0006X | Eye and Vision Services Providers | Optometrist | OEG-000812 (PA) |
| 11 | 152WS0006X | Eye and Vision Services Providers | Optometrist | 5350/T2259 (OH) |
| 12 | 152WX0102X | Eye and Vision Services Providers | Optometrist | OEG-000812 (PA) |
| 13 | 152WX0102X | Eye and Vision Services Providers | Optometrist | 5350/T2259 (OH) |
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 Premier with $0 Medical Deductible - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
- Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - 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
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - 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.
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 |
|---|---|---|---|
| 50054 | OTHER (01) | PA | DAVIS VISION ID |
| U91193 | MEDICARE UPIN (02) | PA | |
| 220961 | OTHER (01) | PA | COLE MANAGED VISON ID |
| 101463734 0002 | MEDICAID (05) | PA | |
| 241675 | OTHER (01) | PA | HLTH AM/ASSR/ADVANTRA ID |
| 397597 | OTHER (01) | PA | NATIONAL VISION ADMIN. ID |
| 313229 | OTHER (01) | PA | UPMC HEALTH PLAN ID |
| 3002066 | OTHER (01) | PA | AETNA PROVIDER ID |
| 220961 | OTHER (01) | PA | EYEMED ID |
| WY1395963 | OTHER (01) | PA | BLUE CRSS/SHLD PROV ID |
| 410049273 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | RAILROAD MEDICARE ID |
| 1646983 | OTHER (01) | PA | HIGHMARK GROUP ID |
| 083790 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | MEDICARE 1 MAN GROUP ID |
| 059972S74 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | MEDICARE PROVIDER ID |
Medicare Participation & PECOS Enrollment Status
Edward Wygonik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 32259 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $130.04
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $32.51
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 1306819636, 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306819636, enumerated as an "individual" on February 08, 2006.
The provider is located at 108 DRUMELLAN CT SAINT JOHNS, FL 32259 and the phone number is (412) 719-5926.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Molina Healthcare, Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.
