MERCY CLINIC EYE SPECIALISTS OPTICAL SHOP-ROLLA
NPI 1629334222
Optometrist in Rolla, MO

NPI Status: Active since April 09, 2012

Contact Information

1605 MARTIN SPRINGS DR
SUITE 240A
ROLLA, MO
ZIP 65401
Phone: (573) 458-6310
Fax: (573) 458-6791

Get Directions Write a Review

  • Organization
  • Optometrist
  • Accepts Insurance

About MERCY CLINIC EYE SPECIALISTS OPTICAL SHOP-ROLLA

This page provides the complete NPI Profile along with additional information for Mercy Clinic Eye Specialists Optical Shop-rolla, a provider established in Rolla, Missouri operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1629334222 assigned on April 2012. The practitioner's primary taxonomy code is 152W00000X with license number T03477 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. Mercy Clinic Eye Specialists Optical Shop-rolla operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mercy Clinic Eye Specialists Optical Shop-rolla. The authorized official of this NPI record is Stuart Stangeland (Sr. Vp/coo)

NPI
1629334222
Provider Legal Name
MERCY CLINIC SPRINGFIELD COMMUNITIES
Other Organization Name
MERCY CLINIC EYE SPECIALISTS OPTICAL SHOP-ROLLA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1605 MARTIN SPRINGS DR SUITE 240A ROLLA, MO 65401
Location Phone
(573) 458-6310
Location Fax
(573) 458-6791
Mailing Address
PO BOX 505164 SAINT LOUIS, MO 63150
Mailing Phone
(417) 829-4246
Mailing Fax
(573) 458-6791
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2012
Last Update Date
12-02-2015
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
License No.
T03477
License State
MO
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152WC0802XEye and Vision Services Providers

Optometrist
Corneal and Contact Management

T03477 (MO)
2156FX1800XEye and Vision Services Providers

Technician/Technologist
Optician

(MO)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO

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

STUART STANGELAND

Authorized Official Title
SR. VP/COO
Authorized Official Phone
(417) 820-3514

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
0472580024MEDICARE NSC (07)MO 
PENDINGMEDICAID (05)MO 

Reviews for MERCY CLINIC EYE SPECIALISTS OPTICAL SHOP-ROLLA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1629334222, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 6 + 3 + 8 + 2 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1629334222.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR, STE 230
ROLLA, MO 65401
Physician Assistant
1605 MARTIN SPRINGS DR, SUITE 250
ROLLA, MO 65401
Internal Medicine (Hematology & Oncology)
1605 MARTIN SPRINGS DR, SUITE 150
ROLLA, MO 65401
Obstetrics & Gynecology
1605 MARTIN SPRINGS DR, STE 320
ROLLA, MO 65401
Physician Assistant
1605 MARTIN SPRINGS DR, STE 210
ROLLA, MO 65401
Nurse Anesthetist, Certified Registered
1605 MARTIN SPRINGS DR
ROLLA, MO 65401
Obstetrics & Gynecology
1605 MARTIN SPRINGS DR, SUITE 320
ROLLA, MO 65401
Durable Medical Equipment & Medical Supplies
1605 MARTIN SPRINGS DR, SUITE 210
ROLLA, MO 65401
Durable Medical Equipment & Medical Supplies
1605 MARTIN SPRINGS DR, SUITE 230
ROLLA, MO 65401
Pharmacist
1605 MARTIN SPRINGS DR, SUITE 220
ROLLA, MO 65401
Pharmacist
1605 MARTIN SPRINGS DR, SUITE 220
ROLLA, MO 65401
Family Medicine
1605 MARTIN SPRINGS DR, STE 230
ROLLA, MO 65401
Family Medicine
1605 MARTIN SPRINGS DR, STE 210
ROLLA, MO 65401
Optometrist
1605 MARTIN SPRINGS DR, STE 240 A
ROLLA, MO 65401
Radiology (Diagnostic Radiology)
1605 MARTIN SPRINGS DR, STE 110
ROLLA, MO 65401
Internal Medicine
1605 MARTIN SPRINGS DR, SUITE 260
ROLLA, MO 65401
Clinic/Center (Ambulatory Surgical)
1605 MARTIN SPRINGS DR
ROLLA, MO 65401
Anesthesiology
1605 MARTIN SPRINGS DR
ROLLA, MO 65401
Nurse Practitioner (Family)
1605 MARTIN SPRINGS DR
ROLLA, MO 65401
Psychiatry & Neurology (Sleep Medicine)
1605 MARTIN SPRINGS DR, SUITE 360B
ROLLA, MO 65401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629334222, enumerated as an "organization" on April 09, 2012.

The provider is located at 1605 MARTIN SPRINGS DR SUITE 240A ROLLA, MO 65401 and the phone number is (573) 458-6310.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.