NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY
NPI 1437106333
Optometrist in Tahlequah, OK
NPI Status: Active since May 27, 2006
Contact Information
1001 N GRAND AVE
TAHLEQUAH, OK
ZIP 74464
Phone: (918) 458-2109
Fax: (918) 458-2310
- Organization
- Optometrist
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY
This page provides the complete NPI Profile along with additional information for Northeastern State University Oklahoma College Of Optometry, a provider established in Tahlequah, Oklahoma operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1437106333 assigned on May 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Northeastern State University Oklahoma College Of Optometry. The authorized official of this NPI record is Dr. Douglas Penisten O.d. (Dean)
- NPI
- 1437106333
- Provider Legal Name
- NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY
- Other Organization Name
- NORTHEASTERN STATE UNIVERSITY OKLAHOMA COLLEGE OF OPTOMETRY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1001 N GRAND AVE TAHLEQUAH, OK 74464
- Location Phone
- (918) 458-2109
- Location Fax
- (918) 458-2310
- Mailing Address
- 1001 N GRAND AVE TAHLEQUAH, OK 74464
- Mailing Phone
- (918) 458-2109
- Mailing Fax
- (918) 458-2310
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 08-30-2010
- Code Navigator
Northeastern State University Oklahoma College Of Optometry is a medicare supplier with PTAN 20601611 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Ocular Prostheses or Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.
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
- 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) |
|---|---|---|---|---|
| 1 | 152WC0802X | Eye and Vision Services Providers | Optometrist | |
| 2 | 152WL0500X | Eye and Vision Services Providers | Optometrist | |
| 3 | 152WP0200X | Eye and Vision Services Providers | Optometrist | |
| 4 | 152WS0006X | Eye and Vision Services Providers | Optometrist | |
| 5 | 152WV0400X | Eye and Vision Services Providers | Optometrist | |
| 6 | 152WX0102X | Eye and Vision Services Providers | Optometrist | |
| 7 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 8 | 332H00000X | Suppliers | Eyewear Supplier |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
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.
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 |
|---|---|---|---|
| 4610400001 | MEDICARE NSC (07) | OK | |
| 100732440A | MEDICAID (05) | OK | |
| 800522171 | MEDICARE PIN (08) | OK |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20601611
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Ocular Prostheses - Prosthetic eyes
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
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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 1437106333, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437106333, enumerated as an "organization" on May 27, 2006.
The provider is located at 1001 N GRAND AVE TAHLEQUAH, OK 74464 and the phone number is (918) 458-2109.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.
