DEWITT EYECARE
NPI 1588029938
Optometrist in De Witt, IA

NPI Status: Active since December 29, 2015

Contact Information

1107 9TH AVE
DE WITT, IA
ZIP 52742
Phone: (563) 659-2020
Fax: (563) 659-2121

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 16D2111595
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-10-2026

About DEWITT EYECARE

This page provides the complete NPI Profile along with additional information for Dewitt Eyecare, a provider established in De Witt, Iowa operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1588029938 assigned on December 2015. The practitioner's primary taxonomy code is 152W00000X with license number 073412 (IA). The provider is registered as an organization and their NPI record was last updated 10 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 provider's is doing business as Dewitt Eyecare. The authorized official of this NPI record is Ms. Susan Y Briggs (Office Manager)

NPI
1588029938
Provider Legal Name
EYEWEAR GALLERY
Other Organization Name
DEWITT EYECARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1107 9TH AVE DE WITT, IA 52742
Location Phone
(563) 659-2020
Location Fax
(563) 659-2121
Mailing Address
PO BOX 50 DE WITT, IA 52742
Mailing Phone
(563) 659-2020
Mailing Fax
(563) 659-2121
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2015
Last Update Date
12-29-2015
Code Navigator



Dewitt Eyecare is a medicare supplier with PTAN 20480051 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

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.
073412
License State
IA
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MS. SUSAN Y BRIGGS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(563) 659-2020

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20480051
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

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
16D2111595
Facility Type
Practitioner Other
Certificate Effective Date
April 11, 2024
Certificate Expiration Date
April 10, 2026
Laboratory Director
JACOB M. HAYWARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dewitt Eyecare 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.

Reviews for DEWITT EYECARE

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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 1588029938, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
8
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 8 → 16 → 7 0 → 0 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 0 + 2 + 1 + 8 + 9 + 6 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1588029938.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Optometrist
1107 9TH AVE
DE WITT, IA 52742
Optometrist
1107 9TH AVE
DE WITT, IA 52742
Optometrist
1107 9TH AVE
DE WITT, IA 52742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588029938, enumerated as an "organization" on December 29, 2015.

The provider is located at 1107 9TH AVE DE WITT, IA 52742 and the phone number is (563) 659-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.