DR. JERRY QUON TOM O.D.
NPI 1386753929
Optometrist - Corneal and Contact Management in Seattle, WA
NPI Status: Active since August 29, 2006
Contact Information
4323 UNIVERSITY WAY NE
SEATTLE, WA
ZIP 98105
Phone: (206) 633-1081
Fax: (206) 633-1432
- Individual
- Male
- Optometrist
- Corneal and Contact Management
- Opted-Out Medicare
About JERRY TOM
This page provides the complete NPI Profile along with additional information for Jerry Tom, a provider established in Seattle, Washington with a medical specialization in Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1386753929 assigned on August 2006. The practitioner's primary taxonomy code is 152WC0802X with license number WA 1895 (WA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1386753929
- Provider Name
- DR. JERRY QUON TOM O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4323 UNIVERSITY WAY NE SEATTLE, WA 98105
- Location Phone
- (206) 633-1081
- Location Fax
- (206) 633-1432
- Mailing Address
- 4323 UNIVERSITY WAY NE SEATTLE, WA 98105
- Mailing Phone
- (206) 633-1081
- Mailing Fax
- (206) 633-1432
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-29-2006
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jerry Tom opted out of Medicare effective on 06-07-2024 until 06-07-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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 Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- WA 1895
- License State
- WA
- Taxonomy Description
- The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Medicare Participation & PECOS Enrollment Status
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.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-07-2024
Opt-Out End Date: 06-07-2026
Eligible to Order and Refer? No
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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 1386753929, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386753929, enumerated as an "individual" on August 29, 2006.
The provider is located at 4323 UNIVERSITY WAY NE SEATTLE, WA 98105 and the phone number is (206) 633-1081.
Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.
