PACIFIC OPTICAL
NPI 1386633345
Eyewear Supplier in Silverdale, WA

NPI Status: Active since October 20, 2005

Contact Information

10049 KITSAP MALL BLVD NW
STE 109
SILVERDALE, WA
ZIP 98383
Phone: (360) 698-3937
Fax: (360) 698-9882

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  • Organization
  • Eyewear Supplier
  • CLIA Number: 50D2136630
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About PACIFIC OPTICAL

This page provides the complete NPI Profile along with additional information for Pacific Optical, a provider established in Silverdale, Washington operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1386633345 assigned on October 2005. The practitioner's primary taxonomy code is 332H00000X with license number MD00029555 (WA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Pacific Optical. The authorized official of this NPI record is David Jc Omovchoc Md (Owner)

NPI
1386633345
Provider Legal Name
PACIFIC EYECARE OF PAULSBO PS
Other Organization Name
PACIFIC OPTICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10049 KITSAP MALL BLVD NW STE 109 SILVERDALE, WA 98383
Location Phone
(360) 698-3937
Location Fax
(360) 698-9882
Mailing Address
20669 BOND RD NE STE 100 POULSBO, WA 98370
Mailing Phone
(360) 779-2020
Mailing Fax
(360) 698-9882
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2005
Last Update Date
06-19-2008
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
MD00029555
License State
WA
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

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

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

DAVID JC OMOVCHOC MD

Authorized Official Title
OWNER
Authorized Official Phone
(360) 779-2020

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
0376550002MEDICARE ID-TYPE UNSPECIFIED (04)WA 
E46615MEDICARE UPIN (02) 
2025633MEDICAID (05)WA 

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
50D2136630
Facility Type
Physician Office
Certificate Effective Date
September 12, 2017
Certificate Expiration Date
April 04, 2028
Laboratory Director
JAMES LIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Optical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1386633345, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 8 → 16 → 7 6 → 12 → 3 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 2 + 3 + 6 + 3 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1386633345.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Allergy & Immunology (Allergy)
10049 KITSAP MALL BLVD NW, STE# 265
SILVERDALE, WA 98383
Social Worker (Clinical)
10049 KITSAP MALL BLVD NW, SUITE 203
SILVERDALE, WA 98383
Social Worker (Clinical)
10049 KITSAP MALL BLVD NW, STE. 203
SILVERDALE, WA 98383
Podiatrist
10049 KITSAP MALL BLVD NW, SUITE 109
SILVERDALE, WA 98383
Specialist
10049 KITSAP MALL BLVD NW, 265
SILVERDALE, WA 98383
Physical Therapist
10049 KITSAP MALL BLVD NW
SILVERDALE, WA 98383
Podiatrist
10049 KITSAP MALL BLVD NW, SUITE 109
SILVERDALE, WA 98383

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386633345, enumerated as an "organization" on October 20, 2005.

The provider is located at 10049 KITSAP MALL BLVD NW STE 109 SILVERDALE, WA 98383 and the phone number is (360) 698-3937.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.