DR. DEREK L COOMBS O.D.
NPI 1497766380
Optometrist in San Luis Obispo, CA
NPI Status: Active since August 10, 2006
Contact Information
592 CALIFORNIA BLVD
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 543-4777
Fax: (805) 543-4886
- Individual
- Male
- Optometrist
- Accepts Insurance
About DEREK COOMBS
This page provides the complete NPI Profile along with additional information for Derek Coombs, a provider established in San Luis Obispo, California with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1497766380 assigned on August 2006. The practitioner's primary taxonomy code is 152W00000X with license number OPT 7166 TPA (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1497766380
- Provider Name
- DR. DEREK L COOMBS O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 592 CALIFORNIA BLVD SAN LUIS OBISPO, CA 93405
- Location Phone
- (805) 543-4777
- Location Fax
- (805) 543-4886
- Mailing Address
- 1653 16TH ST LOS OSOS, CA 93402
- Mailing Phone
- (805) 528-6243
- Mailing Fax
- (805) 543-4886
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-10-2006
- Last Update Date
- 07-09-2007
- 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.
- OPT 7166 TPA
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- BlueCare Direct Gold? Standard - Rx Copays with Advocate - HMO
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 |
|---|---|---|---|
| T70178 | MEDICARE UPIN (02) | CA | |
| SD0071660 | MEDICAID (05) | CA | |
| OP7166 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
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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. | |||||||||
| 1 | 4 | 9 | 7 | 7 | 6 | 6 | 3 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 14 | 6 | 12 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 4 + 6 + 1 + 2 + 3 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1497766380 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497766380, enumerated as an "individual" on August 10, 2006.
The provider is located at 592 CALIFORNIA BLVD SAN LUIS OBISPO, CA 93405 and the phone number is (805) 543-4777.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to verify.
