COFFEYVILLE OPTIC SHOP LLC
NPI 1356005961
Technician/Technologist - Optician in Coffeyville, KS

NPI Status: Active since October 29, 2021

Contact Information

2205 W 8TH ST STE B
COFFEYVILLE, KS
ZIP 67337
Phone: (620) 251-0050

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  • Organization
  • Technician/Technologist
  • Optician
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About COFFEYVILLE OPTIC SHOP LLC

This page provides the complete NPI Profile along with additional information for Coffeyville Optic Shop Llc, a provider established in Coffeyville, Kansas operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1356005961 assigned on October 2021. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 5 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 Cynthia M Dale (Owner)

NPI
1356005961
Provider Name
COFFEYVILLE OPTIC SHOP LLC
Entity Type
Organization
Location Address
2205 W 8TH ST STE B COFFEYVILLE, KS 67337
Location Phone
(620) 251-0050
Mailing Address
4573 CR 2875 COFFEYVILLE, KS 67337
Mailing Phone
(620) 870-4511
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2021
Last Update Date
10-29-2021
Code Navigator



Coffeyville Optic Shop Llc is a medicare supplier with PTAN 20404253 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Prosthetics Cataract Lenses.

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

Technician/Technologist Optician

Taxonomy Code
156FX1800X
Type
Eye and Vision Services Providers
Taxonomy Description
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

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.

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

CYNTHIA M DALE

Authorized Official Title
OWNER
Authorized Official Phone
(620) 870-4511

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20404253
Accepts Medicare Assignment
YES
Specialities List
Optician.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

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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 1356005961, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 5 → 10 → 1 0 → 0 5 → 10 → 1 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 + 1 + 0 + 6 + 0 + 0 + 1 + 0 + 9 + 1 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1356005961.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Technician/Technologist (Optician)
2205 W 8TH ST STE B
COFFEYVILLE, KS 67337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356005961, enumerated as an "organization" on October 29, 2021.

The provider is located at 2205 W 8TH ST STE B COFFEYVILLE, KS 67337 and the phone number is (620) 251-0050.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.