BRYDEN FAMILY VISION
NPI 1649601006
Clinic/Center - Health Service in Lewiston, ID
NPI Status: Active since December 10, 2013
Contact Information
939 BRYDEN AVE
LEWISTON, ID
ZIP 83501
Phone: (208) 743-1761
Fax: (208) 746-8042
- Organization
- Clinic/Center
- Health Service
- Accepts Insurance
About BRYDEN FAMILY VISION
This page provides the complete NPI Profile along with additional information for Bryden Family Vision, a provider established in Lewiston, Idaho operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1649601006 assigned on December 2013. The practitioner's primary taxonomy code is 261QH0100X with license number ODP-634 (ID). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Bryden Family Vision. The authorized official of this NPI record is Dr. Carmine Petracca O.d. (Owner)
- NPI
- 1649601006
- Provider Legal Name
- CARMINE PETRACCA
- Other Organization Name
- BRYDEN FAMILY VISION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 939 BRYDEN AVE LEWISTON, ID 83501
- Location Phone
- (208) 743-1761
- Location Fax
- (208) 746-8042
- Mailing Address
- 939 BRYDEN AVE LEWISTON, ID 83501
- Mailing Phone
- (208) 743-1761
- Mailing Fax
- (208) 746-8042
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-10-2013
- Last Update Date
- 12-10-2013
- 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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
- License No.
- ODP-634
- License State
- ID
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 1649601006, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649601006, enumerated as an "organization" on December 10, 2013.
The provider is located at 939 BRYDEN AVE LEWISTON, ID 83501 and the phone number is (208) 743-1761.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
