CPMOPTOMETRY LLC
NPI 1578039574
Point of Service in Mt Pocono, PA
NPI Status: Active since October 17, 2018
Contact Information
WALMART VISION
3271 PA 940
MT POCONO, PA
ZIP 17325
Phone: (570) 895-4791
Fax: (570) 895-4793
- Organization
- Point of Service
- Accepts Insurance
About CPMOPTOMETRY LLC
This page provides the complete NPI Profile along with additional information for Cpmoptometry Llc, a provider established in Mt Pocono, Pennsylvania operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1578039574 assigned on October 2018. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Charles Morgan (Optometrist)
- NPI
- 1578039574
- Provider Name
- CPMOPTOMETRY LLC
- Entity Type
- Organization
- Location Address
- WALMART VISION 3271 PA 940 MT POCONO, PA 17325
- Location Phone
- (570) 895-4791
- Location Fax
- (570) 895-4793
- Mailing Address
- WALMART VISION 3271 ROUTE 940 MT POCONO, PA 18344
- Mailing Phone
- (570) 895-4791
- Mailing Fax
- (570) 895-4793
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2018
- Last Update Date
- 03-14-2019
- 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
Point of Service
- Taxonomy Code
- 305S00000X
- Type
- Managed Care Organizations
- Taxonomy Description
- This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
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 |
|---|---|---|---|
| 11729544 | OTHER (01) | WY | CAHQ |
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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 1578039574, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578039574, enumerated as an "organization" on October 17, 2018.
The provider is located at WALMART VISION 3271 PA 940 MT POCONO, PA 17325 and the phone number is (570) 895-4791.
Point of Service with taxonomy code 305S00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Medicare. Please consult your insurance carrier or call the provider to verify.
