SOUTHWESTERN EYE CENTER - PRESCOTT OPTICAL
NPI 1609344209
Durable Medical Equipment & Medical Supplies in Prescott, AZ

NPI Status: Active since November 13, 2018

Contact Information

3192 WILLOW CREEK RD
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-1234
Fax: (928) 771-8107

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 03D2159349
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-17-2026

About SOUTHWESTERN EYE CENTER - PRESCOTT OPTICAL

This page provides the complete NPI Profile along with additional information for Southwestern Eye Center - Prescott Optical, a provider established in Prescott, Arizona operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1609344209 assigned on November 2018. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Southwestern Eye Center - Prescott Optical. The authorized official of this NPI record is Arthur D Brookfield (Chief Financial Officer)

NPI
1609344209
Provider Legal Name
SOUTHWESTERN EYE CENTER, LTD
Other Organization Name
SOUTHWESTERN EYE CENTER - PRESCOTT OPTICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3192 WILLOW CREEK RD PRESCOTT, AZ 86301
Location Phone
(928) 445-1234
Location Fax
(928) 771-8107
Mailing Address
63 S ROCKFORD DR STE 220 TEMPE, AZ 85288
Mailing Phone
(602) 598-7488
Mailing Fax
(928) 771-8107
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2018
Last Update Date
01-16-2024
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Southwestern Eye Center - Prescott Optical is a medicare supplier with PTAN 20525597 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 or Prosthetic Lenses: Prosthetics Cataract 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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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

ARTHUR D BROOKFIELD

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(602) 598-7488

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20525597
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
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

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
03D2159349
Facility Type
Physician Office
Certificate Effective Date
December 18, 2024
Certificate Expiration Date
December 17, 2026
Laboratory Director
STEPHANIE STONE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southwestern Eye Center - Prescott Optical 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 1609344209, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 0 → 0 3 → 6 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 6 + 4 + 8 + 2 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1609344209.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Clinic/Center (Ophthalmologic Surgery)
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Neurological Surgery
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Clinic/Center (Ambulatory Surgical)
3192 WILLOW CREEK RD, 3192 WILLOW CREEK ROAD
PRESCOTT, AZ 86301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609344209, enumerated as an "organization" on November 13, 2018.

The provider is located at 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 and the phone number is (928) 445-1234.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.