LEAGUE CITY TEXAS STATE OPTICAL PA
NPI 1376620716
Optometrist in League City, TX

NPI Status: Active since November 01, 2006

Contact Information

2700 MARINA BAY DR STE A
LEAGUE CITY, TX
ZIP 77573
Phone: (281) 535-8876

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  • Organization
  • Optometrist
  • Accepts Insurance
  • CLIA Number: 45D2116595
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-27-2026

About LEAGUE CITY TEXAS STATE OPTICAL PA

This page provides the complete NPI Profile along with additional information for League City Texas State Optical Pa, a provider established in League City, Texas operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1376620716 assigned on November 2006. The practitioner's primary taxonomy code is 152W00000X with license number 3270TG (TX). The provider is registered as an organization and their NPI record was last updated 4 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 Douglas R Fingold Od (Owner)

NPI
1376620716
Provider Name
LEAGUE CITY TEXAS STATE OPTICAL PA
Entity Type
Organization
Location Address
2700 MARINA BAY DR STE A LEAGUE CITY, TX 77573
Location Phone
(281) 535-8876
Mailing Address
2700 MARINA BAY DR STE A LEAGUE CITY, TX 77573
Mailing Phone
(281) 535-8876
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-01-2006
Last Update Date
04-08-2022
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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.
3270TG
License State
TX
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
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO

*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

DOUGLAS R FINGOLD OD

Authorized Official Title
OWNER
Authorized Official Phone
(281) 535-8876

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2116595
Facility Type
Physician Office
Certificate Effective Date
July 28, 2024
Certificate Expiration Date
July 27, 2026
Laboratory Director
HANAN HUSSEIN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to League City Texas State Optical Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for LEAGUE CITY TEXAS STATE OPTICAL PA

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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 1376620716, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 7 → 14 → 5 6 → 12 → 3 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 2 + 2 + 0 + 7 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1376620716.

Other Providers at the Same Location


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

Optometrist
2700 MARINA BAY DR STE A
LEAGUE CITY, TX 77573

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376620716, enumerated as an "organization" on November 01, 2006.

The provider is located at 2700 MARINA BAY DR STE A LEAGUE CITY, TX 77573 and the phone number is (281) 535-8876.

Optometrist with taxonomy code 152W00000X.

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