EDGEBROOK EYE CARE
NPI 1396753513
Optometrist in Rockford, IL

NPI Status: Active since August 03, 2006

Contact Information

1641 N ALPINE RD
SUITE 205
ROCKFORD, IL
ZIP 61107
Phone: (815) 397-5337
Fax: (815) 397-5540

Get Directions Write a Review

  • Organization
  • Optometrist

About EDGEBROOK EYE CARE

This page provides the complete NPI Profile along with additional information for Edgebrook Eye Care, a provider established in Rockford, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1396753513 assigned on August 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Edgebrook Eye Care. The authorized official of this NPI record is Dr. David A Nielsen O.d. (Optometrist)

NPI
1396753513
Provider Legal Name
ASSOCIATED OPTOMETRISTS, PC
Other Organization Name
EDGEBROOK EYE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1641 N ALPINE RD SUITE 205 ROCKFORD, IL 61107
Location Phone
(815) 397-5337
Location Fax
(815) 397-5540
Mailing Address
1641 N ALPINE RD SUITE 205 ROCKFORD, IL 61107
Mailing Phone
(815) 397-5337
Mailing Fax
(815) 397-5540
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2006
Last Update Date
08-22-2020
Code Navigator

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

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License State
IL
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.

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

DR. DAVID A NIELSEN O.D.

Authorized Official Title
OPTOMETRIST
Authorized Official Phone
(815) 397-5337

Reviews for EDGEBROOK EYE CARE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396753513
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186145652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 4 + 5 + 6 + 5 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1396753513 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. DAVID A NIELSEN O.D.

Optometrist

1641 N ALPINE RD
SUITE 205
ROCKFORD, IL
ZIP 61107

(815) 397-5337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396753513, enumerated as an "organization" on August 03, 2006.

The provider is located at 1641 N ALPINE RD SUITE 205 ROCKFORD, IL 61107 and the phone number is (815) 397-5337.

Optometrist with taxonomy code 152W00000X.