KENDALL OPTOMETRY (ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION) NPI 1437117231

Optometrist in Lompoc, CA

NPI 1437117231 Organization Optometrist

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 NameKENDALL OPTOMETRY (ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION)
Provider Location Address425 W CENTRAL AVE STE 102 LOMPOC, CA 93436
Provider Mailing Address910 E STOWELL RD SANTA MARIA, CA 93454
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameKENDALL OPTOMETRY
Other Name TypeDoing Business As (3)
Enumeration Date05-02-2006
Last Update Date10-10-2018


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
Taxonomy DescriptionDoctors 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

Get Directions


Mailing Address

KENDALL OPTOMETRY
910 E STOWELL RD
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-2637
Fax: (805) 347-0033



Authorized Official

Authorized Official Name STEPHEN BYLSMA MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(805) 925-2637

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
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyNo

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
GR0086920MEDICAID (05)CA
ZZZ61060ZOTHER (01)CABLUE SHIELD OF CA
GSD004611MEDICAID (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.
1437117231
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2467211426
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 = 11

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
Optometrist425 W CENTRAL AVE STE 102
LOMPOC, CA 93436
(805) 736-2020
1952456824ELITE EYECARE MEDICAL GROUP A MEDICAL CORPORATION
Organization
Eyewear Supplier425 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.