DR. JESSICA JEAN GRIMM O.D.
NPI 1407858962
Optometrist in San Antonio, TX

NPI Status: Active since August 15, 2005

Contact Information

5619 W LOOP 1604 N STE 114
SAN ANTONIO, TX
ZIP 78253
Phone: (210) 792-3089

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  • Individual
  • Female
  • Optometrist

About JESSICA GRIMM

This page provides the complete NPI Profile along with additional information for Jessica Grimm, a provider established in San Antonio, Texas with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1407858962 assigned on August 2005. The practitioner's primary taxonomy code is 152W00000X with license number 6743TG (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1407858962
Provider Name
DR. JESSICA JEAN GRIMM O.D.
Gender
Female
Entity Type
Individual
Location Address
5619 W LOOP 1604 N STE 114 SAN ANTONIO, TX 78253
Location Phone
(210) 792-3089
Mailing Address
5619 W LOOP 1604 N STE 114 SAN ANTONIO, TX 78253
Mailing Phone
(210) 792-3089
Is Sole Proprietor?
Yes
Enumeration Date
08-15-2005
Last Update Date
05-10-2024
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Location Map

Secondary Locations

  • 1100 Wilford Hall Loop
    Jbsa Lackland, TX 78236
    (210) 292-4277

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.
6743TG
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

6743T (TX)

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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.
1407858962
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
240716516912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 6 + 5 + 1 + 6 + 9 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1407858962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. JOHN K NGUYEN O.D.

Optometrist

5619 W LOOP 1604 N STE 114
SAN ANTONIO, TX
ZIP 78253

(210) 492-4188

ALAMO VISION ASSOCIATES, PC

Optometrist

5619 W LOOP 1604 N STE 114
SAN ANTONIO, TX
ZIP 78253

(210) 647-0728

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407858962, enumerated as an "individual" on August 15, 2005.

The provider is located at 5619 W LOOP 1604 N STE 114 SAN ANTONIO, TX 78253 and the phone number is (210) 792-3089.

Optometrist with taxonomy code 152W00000X.