JACKSON OPTICAL LLC
NPI 1639361322
Technician/Technologist - Optician in Port Charlotte, FL

NPI Status: Active since August 16, 2007

Contact Information

4265 TAMIAMI TRL
SUITE G
PORT CHARLOTTE, FL
ZIP 33980
Phone: (941) 625-6602
Fax: (941) 625-0021

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Technician/Technologist
Optician

About JACKSON OPTICAL LLC

This page provides the complete NPI Profile along with additional information for Jackson Optical Llc, a provider established in Port Charlotte, Florida operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1639361322 assigned on August 2007. The practitioner's primary taxonomy code is 156FX1800X with license number OE702 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Stephen Mason (Owner)

NPI: 1639361322
Provider Name: JACKSON OPTICAL LLC
Entity Type: Organization
Location Address: 4265 TAMIAMI TRL SUITE G PORT CHARLOTTE, FL 33980
Location Phone: (941) 625-6602
Location Fax: (941) 625-0021
Mailing Address: 4265 TAMIAMI TRL SUITE G PORT CHARLOTTE, FL 33980
Mailing Phone: (941) 625-6602
Mailing Fax: (941) 625-0021
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-16-2007
Last Update Date: 10-22-2007
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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: Technician/Technologist Optician
Taxonomy Code: 156FX1800X
Type: Eye and Vision Services Providers
License No.: OE702
License State: FL
Taxonomy Description: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

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:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: MR. STEPHEN MASON
Authorized Official Title: OWNER
Authorized Official Phone: (941) 625-6602

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
5488960001	OTHER (01)	FL	PALMETTO

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	3	9	3	6	1	3	2	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	6	6	2	3	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 6 + 2 + 3 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1639361322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 8 providers are registered at the same or nearby location.

MR. STEPHEN MASON

Technician/Technologist

(Optician)

4265 TAMIAMI TRL
SUITE G
PORT CHARLOTTE, FL
ZIP 33980

(941) 625-6602

View Profile

MDK VENTURES L.L.C

Durable Medical Equipment & Medical Supplies

4265 TAMIAMI TRL
UNIT E
PORT CHARLOTTE, FL
ZIP 33980

(941) 637-7330

View Profile

MS. PAMELA ELIZABETH MCDONALD-DORMAN PHARMACIST

Pharmacist