LINCOLN SQUARE OPTICAL
NPI 1346716768
Optometrist in Chicago, IL

NPI Status: Active since October 23, 2018

Contact Information

2501 W LAWRENCE AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 931-3839

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  • Organization
  • Optometrist
  • Accepts Insurance

About LINCOLN SQUARE OPTICAL

This page provides the complete NPI Profile along with additional information for Lincoln Square Optical, a provider established in Chicago, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1346716768 assigned on October 2018. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Lincoln Square Optical operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mariam Ethezaz Od (Optometrist)

NPI
1346716768
Provider Name
LINCOLN SQUARE OPTICAL
Entity Type
Organization
Location Address
2501 W LAWRENCE AVE CHICAGO, IL 60625
Location Phone
(773) 931-3839
Mailing Address
5232 WRIGHT TER SKOKIE, IL 60077
Mailing Phone
(773) 931-3839
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2018
Last Update Date
10-23-2018
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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
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)
1152WC0802XEye and Vision Services Providers

Optometrist
Corneal and Contact Management

 
2152WL0500XEye and Vision Services Providers

Optometrist
Low Vision Rehabilitation

 
3152WP0200XEye and Vision Services Providers

Optometrist
Pediatrics

 
4152WV0400XEye and Vision Services Providers

Optometrist
Vision Therapy

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO

*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

MARIAM ETHEZAZ OD

Authorized Official Title
OPTOMETRIST
Authorized Official Phone
(773) 931-3839

Reviews for LINCOLN SQUARE OPTICAL

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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 1346716768, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 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 4 → 8 7 → 14 → 5 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 8 + 6 + 1 + 4 + 1 + 1 + 2 + 7 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1346716768.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pediatrics
2501 W LAWRENCE AVE, SUITE C
CHICAGO, IL 60625
Community/Behavioral Health
2501 W LAWRENCE AVE, SUITE C
CHICAGO, IL 60625
Pediatrics
2501 W LAWRENCE AVE, UNIT# C
CHICAGO, IL 60625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346716768, enumerated as an "organization" on October 23, 2018.

The provider is located at 2501 W LAWRENCE AVE CHICAGO, IL 60625 and the phone number is (773) 931-3839.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and Blue. Please consult your insurance carrier or call the provider to verify.