OTIS OPTOMETRY, LLC
NPI 1568873602
Optometrist in Camdenton, MO

NPI Status: Active since May 12, 2014

Contact Information

94 CECIL ST
CAMDENTON, MO
ZIP 65020
Phone: (573) 317-9279
Fax: (888) 841-1312

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  • Organization
  • Optometrist

About OTIS OPTOMETRY, LLC

This page provides the complete NPI Profile along with additional information for Otis Optometry, Llc, a provider established in Camdenton, Missouri operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1568873602 assigned on May 2014. The practitioner's primary taxonomy code is 152W00000X with license number TO3134 (MO). The provider is registered as an organization and their NPI record was last updated 12 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 Mr. Matt David Wickham O.d. (Owner)

NPI
1568873602
Provider Name
OTIS OPTOMETRY, LLC
Entity Type
Organization
Location Address
94 CECIL ST CAMDENTON, MO 65020
Location Phone
(573) 317-9279
Location Fax
(888) 841-1312
Mailing Address
1939 WENTZVILLE PKWY STE 166 WENTZVILLE, MO 63385
Mailing Phone
(636) 812-3821
Mailing Fax
(888) 841-1312
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2014
Last Update Date
07-29-2014
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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.
TO3134
License State
MO
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.

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

MR. MATT DAVID WICKHAM O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(314) 276-1228

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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 1568873602, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 6 + 7 + 6 + 6 + 0 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1568873602.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Optometrist
94 CECIL ST
CAMDENTON, MO 65020
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
94 CECIL ST
CAMDENTON, MO 65020
Pharmacist
94 CECIL ST
CAMDENTON, MO 65020
Pharmacist
94 CECIL ST
CAMDENTON, MO 65020
Pharmacy (Community/Retail Pharmacy)
94 CECIL ST
CAMDENTON, MO 65020
Optometrist
94 CECIL ST
CAMDENTON, MO 65020
Optometrist
94 CECIL ST
CAMDENTON, MO 65020
Eyewear Supplier
94 CECIL ST
CAMDENTON, MO 65020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568873602, enumerated as an "organization" on May 12, 2014.

The provider is located at 94 CECIL ST CAMDENTON, MO 65020 and the phone number is (573) 317-9279.

Optometrist with taxonomy code 152W00000X.