FIVE FORKS VISION, LLC
NPI 1609343227
Optometrist in Simpsonville, SC
NPI Status: Active since November 01, 2018
Contact Information
2827 WOODRUFF RD
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 520-2480
- Organization
- Optometrist
- CLIA Number: 42D2170862
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 08-20-2027
About FIVE FORKS VISION, LLC
This page provides the complete NPI Profile along with additional information for Five Forks Vision, Llc, a provider established in Simpsonville, South Carolina operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1609343227 assigned on November 2018. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 7 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 Gordon Stanley Johnson Od (Optometrist / Owner)
- NPI
- 1609343227
- Provider Name
- FIVE FORKS VISION, LLC
- Entity Type
- Organization
- Location Address
- 2827 WOODRUFF RD SIMPSONVILLE, SC 29681
- Location Phone
- (864) 520-2480
- Mailing Address
- 2827 WOODRUFF RD SIMPSONVILLE, SC 29681
- Mailing Phone
- (864) 520-2480
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-01-2018
- Last Update Date
- 08-26-2019
- 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
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- 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
- 42D2170862
- Facility Type
- Practitioner Other
- Certificate Effective Date
- August 21, 2025
- Certificate Expiration Date
- August 20, 2027
- Laboratory Director
- KRISTINA L. HAPNEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Five Forks Vision, Llc 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 1609343227, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609343227, enumerated as an "organization" on November 01, 2018.
The provider is located at 2827 WOODRUFF RD SIMPSONVILLE, SC 29681 and the phone number is (864) 520-2480.
Optometrist with taxonomy code 152W00000X.
