DR. JON RICHARD OBERLY O. D.
NPI 1467508812
Optometrist in Bridgeport, WV

NPI Status: Active since January 26, 2007

Contact Information

2500 MEADOWBROOK MALL
JC PENNEY OPTICAL
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-8515
Fax: (214) 427-2588

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  • Individual
  • Male
  • Optometrist

About JON OBERLY

This page provides the complete NPI Profile along with additional information for Jon Oberly, a provider established in Bridgeport, West Virginia with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1467508812 assigned on January 2007. The practitioner's primary taxonomy code is 152W00000X with license number 619OD (WV). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1467508812
Provider Name
DR. JON RICHARD OBERLY O. D.
Gender
Male
Entity Type
Individual
Location Address
2500 MEADOWBROOK MALL JC PENNEY OPTICAL BRIDGEPORT, WV 26330
Location Phone
(304) 842-8515
Location Fax
(214) 427-2588
Mailing Address
965 STEWART ST MORGANTOWN, WV 26505
Mailing Phone
(304) 599-8380
Is Sole Proprietor?
Yes
Enumeration Date
01-26-2007
Last Update Date
07-08-2007
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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

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
619OD
License State
WV
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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
OB9161253MEDICARE ID-TYPE UNSPECIFIED (04)WV 
T32544MEDICARE UPIN (02)WV 

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NPI Validation Check Digit Calculation


The following table explains the step by step 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.
1467508812
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271001682
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 0 + 0 + 1 + 6 + 8 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1467508812 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

USV OPTICAL INC.

Eyewear Supplier

2500 MEADOWBROOK MALL
BRIDGEPORT, WV
ZIP 26330

(304) 842-8331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467508812, enumerated as an "individual" on January 26, 2007.

The provider is located at 2500 MEADOWBROOK MALL JC PENNEY OPTICAL BRIDGEPORT, WV 26330 and the phone number is (304) 842-8515.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.