PAUL J SUPER OD A PROFESSIONAL CORPORATION
NPI 1457681371
Optometrist in Los Angeles, CA
NPI Status: Active since December 29, 2009
Contact Information
11777 SAN VICENTE BLVD
#130
LOS ANGELES, CA
ZIP 90049
Phone: (310) 820-2020
Fax: (310) 820-1884
- Organization
- Optometrist
About PAUL J SUPER OD A PROFESSIONAL CORPORATION
This page provides the complete NPI Profile along with additional information for Paul J Super Od A Professional Corporation, a provider established in Los Angeles, California operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1457681371 assigned on December 2009. The practitioner's primary taxonomy code is 152W00000X with license number OP8867TPG (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Paul J Super O.d. (Optometrist)
- NPI
- 1457681371
- Provider Name
- PAUL J SUPER OD A PROFESSIONAL CORPORATION
- Entity Type
- Organization
- Location Address
- 11777 SAN VICENTE BLVD #130 LOS ANGELES, CA 90049
- Location Phone
- (310) 820-2020
- Location Fax
- (310) 820-1884
- Mailing Address
- 11777 SAN VICENTE BLVD #130 LOS ANGELES, CA 90049
- Mailing Phone
- (310) 820-2020
- Mailing Fax
- (310) 820-1884
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2009
- Last Update Date
- 03-03-2016
- 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 No.
- OP8867TPG
- License State
- CA
- 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 | OP8867TPG (CA) |
| 2 | 152WL0500X | Eye and Vision Services Providers | Optometrist | OP8867TPG (CA) |
| 3 | 152WP0200X | Eye and Vision Services Providers | Optometrist | OP8867TPG (CA) |
| 4 | 152WV0400X | Eye and Vision Services Providers | Optometrist | OP8867TPG (CA) |
| 5 | 302R00000X | Managed Care Organizations | Health Maintenance Organization | OPT8867T (CA) |
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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 1457681371, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457681371, enumerated as an "organization" on December 29, 2009.
The provider is located at 11777 SAN VICENTE BLVD #130 LOS ANGELES, CA 90049 and the phone number is (310) 820-2020.
Optometrist with taxonomy code 152W00000X.
