KENDALL OPTOMETRY (ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION) NPI 1437117231
Optometrist in Lompoc, CA
NPI Profile for KENDALL OPTOMETRY (ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION)
Kendall Optometry (elite Eyecare Medical Group A Medical Corporation) is a provider established in Lompoc, California specializing in optometrist. The NPI number of Kendall Optometry (elite Eyecare Medical Group A Medical Corporation) is 1437117231 and was 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 4 years ago. Kendall Optometry (elite Eyecare Medical Group A Medical Corporation) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Kendall Optometry. The authorized official of this NPI record is Stephen Bylsma Md (President)
| NPI | 1437117231 |
| Provider Name | KENDALL OPTOMETRY (ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION) |
| Provider Location Address | 425 W CENTRAL AVE STE 102 LOMPOC, CA 93436 |
| Provider Mailing Address | 910 E STOWELL RD SANTA MARIA, CA 93454 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | KENDALL OPTOMETRY |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 05-02-2006 |
| Last Update Date | 10-10-2018 |
Primary Taxonomy
| Taxonomy Code | 152W00000X |
| Classification | Optometrist |
| 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. |
Business Address
KENDALL OPTOMETRY
425 W CENTRAL AVE STE 102
LOMPOC, CA
ZIP 93436
Phone: (805) 736-2020
Fax: (805) 737-1733
Mailing Address
KENDALL OPTOMETRY
910 E STOWELL RD
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-2637
Fax: (805) 347-0033
Group Taxonomy
193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | No | |||
Taxonomy Description: an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0086920 | MEDICAID (05) | CA | |
| ZZZ61060Z | OTHER (01) | CA | BLUE SHIELD OF CA |
| GSD004611 | MEDICAID (05) | CA |
NPI Validation Check Digit Calculation
The following table explains step by step the 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. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 1 | 7 | 2 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 1 | 14 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 1 + 1 + 4 + 2 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1437117231 is valid because the calculated check digit 1 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.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700889532 | KENNETH R. KENDALL O.D. Individual | Optometrist | 425 W CENTRAL AVE STE 102 LOMPOC, CA 93436 (805) 736-2020 |
| 1952456824 | ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION Organization | Eyewear Supplier | 425 W CENTRAL AVE STE 102 LOMPOC, CA 93436 (805) 736-2020 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Kendall Optometry is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.