FOUR RIVERS VISION THERAPY, PLLC
NPI 1508255464
Optometrist in Paducah, KY
NPI Status: Active since January 15, 2015
Contact Information
4570 PECAN DR
SUITE C
PADUCAH, KY
ZIP 42001
Phone: (270) 558-4741
Fax: (270) 558-4742
- Organization
- Optometrist
- CLIA Number: 18D1036587
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 02-06-2027
About FOUR RIVERS VISION THERAPY, PLLC
This page provides the complete NPI Profile along with additional information for Four Rivers Vision Therapy, Pllc, a provider established in Paducah, Kentucky operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1508255464 assigned on January 2015. The practitioner's primary taxonomy code is 152W00000X with license number 1958DT (KY). The provider is registered as an organization and their NPI record was last updated 11 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. Canaan Matthew Montgomery Od (Owner)
- NPI
- 1508255464
- Provider Name
- FOUR RIVERS VISION THERAPY, PLLC
- Entity Type
- Organization
- Location Address
- 4570 PECAN DR SUITE C PADUCAH, KY 42001
- Location Phone
- (270) 558-4741
- Location Fax
- (270) 558-4742
- Mailing Address
- 4570 PECAN DR SUITE C PADUCAH, KY 42001
- Mailing Phone
- (270) 558-4741
- Mailing Fax
- (270) 558-4742
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-15-2015
- Last Update Date
- 01-15-2015
- 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.
- 1958DT
- License State
- KY
- 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.
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.
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
- 18D1036587
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- February 07, 2025
- Certificate Expiration Date
- February 06, 2027
- Laboratory Director
- MR. TERRY HUDSPETH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Four Rivers Vision Therapy, 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 1508255464, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508255464, enumerated as an "organization" on January 15, 2015.
The provider is located at 4570 PECAN DR SUITE C PADUCAH, KY 42001 and the phone number is (270) 558-4741.
Optometrist with taxonomy code 152W00000X.
