DR. JOHN LACKEY, INC.
NPI 1609904663
Eyewear Supplier in Summersville, WV

NPI Status: Active since March 01, 2007

Contact Information

702 PROFESSIONAL PARK DR
SUITE102
SUMMERSVILLE, WV
ZIP 26651
Phone: (304) 872-6433
Fax: (304) 872-6562

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  • Organization
  • Eyewear Supplier

About DR. JOHN LACKEY, INC.

This page provides the complete NPI Profile along with additional information for Dr. John Lackey, Inc., a provider established in Summersville, West Virginia operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1609904663 assigned on March 2007. The practitioner's primary taxonomy code is 332H00000X with license number 736 (WV). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Dr. John Lackey, Inc.. The authorized official of this NPI record is Dr. John Lackey D.o. (Owner)

NPI
1609904663
Provider Legal Name
JOHN LACKEY, INC
Other Organization Name
DR. JOHN LACKEY, INC.
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
702 PROFESSIONAL PARK DR SUITE102 SUMMERSVILLE, WV 26651
Location Phone
(304) 872-6433
Location Fax
(304) 872-6562
Mailing Address
702 PROFESSIONAL PARK DR SUITE 102 SUMMERSVILLE, WV 26651
Mailing Phone
(304) 872-6433
Mailing Fax
(304) 872-6562
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2007
Last Update Date
11-03-2011
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
736
License State
WV
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

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

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.

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

DR. JOHN LACKEY D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(304) 872-6433

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
1205951605OTHER (01)WVMEDICARE GROUP PAYER NPI (MEDICAL PRACTICE)
1609904663OTHER (01)WVDME SUPPLIER NPI
00094926001OTHER (01)WVMEDICAID OPTICAL SUPPLIER NUMBER
0257640001OTHER (01)WVMEDICARE DME PTAN (SUPPLIER PTAN)

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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 1609904663, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 9 → 18 → 9 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 8 + 0 + 8 + 6 + 1 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1609904663.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
702 PROFESSIONAL PARK DR, SUITE 100
SUMMERSVILLE, WV 26651
Ophthalmology
702 PROFESSIONAL PARK DR, SUITE 102
SUMMERSVILLE, WV 26651
Urology
702 PROFESSIONAL PARK DR
SUMMERSVILLE, WV 26651
Psychologist (Clinical)
702 PROFESSIONAL PARK DR, STE 106
SUMMERSVILLE, WV 26651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609904663, enumerated as an "organization" on March 01, 2007.

The provider is located at 702 PROFESSIONAL PARK DR SUITE102 SUMMERSVILLE, WV 26651 and the phone number is (304) 872-6433.

Eyewear Supplier with taxonomy code 332H00000X.

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