KLIBANOFF EYE ASSOCIATES, LTD
NPI 1467508556
Optometrist - Corneal and Contact Management in Pawtucket, RI

NPI Status: Active since January 25, 2007

Contact Information

121 BROAD ST
PAWTUCKET, RI
ZIP 02860
Phone: (401) 723-3400
Fax: (401) 727-2326

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  • Organization
  • Optometrist
  • Corneal and Contact Management
  • Accepts Insurance
  • CLIA Number: 41D2242612
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-09-2025

About KLIBANOFF EYE ASSOCIATES, LTD

This page provides the complete NPI Profile along with additional information for Klibanoff Eye Associates, Ltd, a provider established in Pawtucket, Rhode Island operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1467508556 assigned on January 2007. The practitioner's primary taxonomy code is 152WC0802X with license number ODTG00476 (RI). The provider is registered as an organization and their NPI record was last updated 16 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 authorized official of this NPI record is Dr. David Allen Klibanoff Od (President)

NPI
1467508556
Provider Name
KLIBANOFF EYE ASSOCIATES, LTD
Entity Type
Organization
Location Address
121 BROAD ST PAWTUCKET, RI 02860
Location Phone
(401) 723-3400
Location Fax
(401) 727-2326
Mailing Address
121 BROAD ST PAWTUCKET, RI 02860
Mailing Phone
(401) 723-3400
Mailing Fax
(401) 727-2326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
Last Update Date
05-17-2010
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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 Corneal and Contact Management

Taxonomy Code
152WC0802X
Type
Eye and Vision Services Providers
License No.
ODTG00476
License State
RI
Taxonomy Description
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

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

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID ALLEN KLIBANOFF OD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(401) 723-3400

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
0236250001MEDICARE NSC (07)RI 
419007949MEDICARE PIN (08)RI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
41D2242612
Facility Type
Physician Office
Certificate Effective Date
November 10, 2023
Certificate Expiration Date
November 09, 2025
Laboratory Director
BENJAMIN D. KLIBANOFF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Klibanoff Eye Associates, Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1467508556, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 0 + 0 + 1 + 6 + 5 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1467508556.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
121 BROAD ST
PAWTUCKET, RI 02860
Optometrist
121 BROAD ST
PAWTUCKET, RI 02860

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467508556, enumerated as an "organization" on January 25, 2007.

The provider is located at 121 BROAD ST PAWTUCKET, RI 02860 and the phone number is (401) 723-3400.

Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.