BIRDS EYE MEDICAL PLLC
NPI 1497615710
Preventive Medicine - Public Health & General Preventive Medicine in Lacey, WA

NPI Status: Active since November 18, 2025

Contact Information

2641 WILLAMETTE DR NE STE A
LACEY, WA
ZIP 98516
Phone: (702) 640-0428
Fax: (360) 347-6620

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  • Organization
  • Preventive Medicine
  • Public Health & General Preventive Medic...
  • CLIA Number: 50D2205756
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 04-04-2028

About BIRDS EYE MEDICAL PLLC

This page provides the complete NPI Profile along with additional information for Birds Eye Medical Pllc, a provider established in Lacey, Washington operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1497615710 assigned on November 2025. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated one year 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 Sherlonda Allen (Biller/credentialer)

NPI
1497615710
Provider Name
BIRDS EYE MEDICAL PLLC
Entity Type
Organization
Location Address
2641 WILLAMETTE DR NE STE A LACEY, WA 98516
Location Phone
(702) 640-0428
Location Fax
(360) 347-6620
Mailing Address
2641 WILLAMETTE DR NE STE A LACEY, WA 98516
Mailing Phone
(702) 640-0428
Mailing Fax
(360) 347-6620
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2025
Last Update Date
11-19-2025
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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

Preventive Medicine Public Health & General Preventive Medicine

Taxonomy Code
2083P0901X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

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.

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

SHERLONDA ALLEN

Authorized Official Title
BILLER/CREDENTIALER
Authorized Official Phone
(702) 640-0428

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
50D2205756
Facility Type
Mobile Laboratory
Certificate Effective Date
December 15, 2020
Certificate Expiration Date
April 04, 2028
Laboratory Director
JOEL ABBOTT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Birds Eye Medical Pllc 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 1497615710, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
0
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 9 → 18 → 9 6 → 12 → 3 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 1 + 2 + 1 + 1 + 0 + 7 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1497615710.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
2641 WILLAMETTE DR NE STE A
LACEY, WA 98516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497615710, enumerated as an "organization" on November 18, 2025.

The provider is located at 2641 WILLAMETTE DR NE STE A LACEY, WA 98516 and the phone number is (702) 640-0428.

Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.