MONROEVILLE EYE CARE
NPI 1467504100
Exclusive Provider Organization in Atmore, AL
NPI Status: Active since January 16, 2007
Contact Information
166 LINDBERG AVE
ATMORE, AL
ZIP 36502
Phone: (251) 368-8767
Fax: (251) 368-4565
- Organization
- Exclusive Provider Organization
- Accepts Insurance
About MONROEVILLE EYE CARE
This page provides the complete NPI Profile along with additional information for Monroeville Eye Care, a provider established in Atmore, Alabama operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1467504100 assigned on January 2007. The practitioner's primary taxonomy code is 302F00000X with license number S486TA041 (AL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Monroeville Eye Care. The authorized official of this NPI record is Dr. David Helton O.d. (President)
- NPI
- 1467504100
- Provider Legal Name
- HELTON VISION ASSOCIATES ,P.C.
- Other Organization Name
- MONROEVILLE EYE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 166 LINDBERG AVE ATMORE, AL 36502
- Location Phone
- (251) 368-8767
- Location Fax
- (251) 368-4565
- Mailing Address
- 166 LINDBERG AVE ATMORE, AL 36502
- Mailing Phone
- (251) 368-8767
- Mailing Fax
- (251) 368-4565
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2007
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Secondary Locations
- 3016 S Alabama Ave
Monroeville, AL 36460
(251) 743-3305
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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- S486TA041
- License State
- AL
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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 | 152W00000X | Eye and Vision Services Providers | Optometrist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1467504100, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467504100, enumerated as an "organization" on January 16, 2007.
The provider is located at 166 LINDBERG AVE ATMORE, AL 36502 and the phone number is (251) 368-8767.
Exclusive Provider Organization with taxonomy code 302F00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.
