RADIANT EYES LLC
NPI 1679316996
Optometrist in Sussex, WI
NPI Status: Active since June 14, 2024
Contact Information
W248N5233 EXECUTIVE DR UNIT 200
SUSSEX, WI
ZIP 53089
Phone: (262) 304-0080
Fax: (262) 304-0081
- Organization
- Optometrist
- Accepts Insurance
About RADIANT EYES LLC
This page provides the complete NPI Profile along with additional information for Radiant Eyes Llc, a provider established in Sussex, Wisconsin operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1679316996 assigned on June 2024. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated one year 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 Dr. Nicole Shirley Avgoulas Od (Optometrist)
- NPI
- 1679316996
- Provider Name
- RADIANT EYES LLC
- Entity Type
- Organization
- Location Address
- W248N5233 EXECUTIVE DR UNIT 200 SUSSEX, WI 53089
- Location Phone
- (262) 304-0080
- Location Fax
- (262) 304-0081
- Mailing Address
- 197 S GOLDEN VISTA CT OCONOMOWOC, WI 53066
- Mailing Phone
- (262) 490-0275
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2024
- Last Update Date
- 07-13-2024
- 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
- 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.
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:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 7 | 9 | 3 | 1 | 6 | 9 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 6 | 1 | 12 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 6 + 1 + 1 + 2 + 9 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1679316996 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679316996, enumerated as an "organization" on June 14, 2024.
The provider is located at W248N5233 EXECUTIVE DR UNIT 200 SUSSEX, WI 53089 and the phone number is (262) 304-0080.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.
