BASIN VISION CENTER, P. C.
NPI 1689707820
Optometrist in Cody, WY

NPI Status: Active since March 14, 2007

Contact Information

620 19TH ST
CODY, WY
ZIP 82414
Phone: (307) 587-4206
Fax: (307) 587-5539

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  • Organization
  • Optometrist
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 53D1084616
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 05-28-2026

About BASIN VISION CENTER, P. C.

This page provides the complete NPI Profile along with additional information for Basin Vision Center, P. C., a provider established in Cody, Wyoming operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1689707820 assigned on March 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 5 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 Dr. Jonathan M Hartley O.d. (Ceo And President)

NPI
1689707820
Provider Name
BASIN VISION CENTER, P. C.
Entity Type
Organization
Location Address
620 19TH ST CODY, WY 82414
Location Phone
(307) 587-4206
Location Fax
(307) 587-5539
Mailing Address
PO BOX 2810 CODY, WY 82414
Mailing Phone
(307) 587-4206
Mailing Fax
(307) 587-5539
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
12-18-2020
Code Navigator



Basin Vision Center, P. C. is a medicare supplier with PTAN 20606453 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

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.

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. JONATHAN M HARTLEY O.D.

Authorized Official Title
CEO AND PRESIDENT
Authorized Official Phone
(307) 587-4206

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20606453
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D1084616
Facility Type
Mobile Laboratory
Certificate Effective Date
May 29, 2024
Certificate Expiration Date
May 28, 2026
Laboratory Director
JAMES H. BELL, OD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Basin Vision Center, P. C. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1689707820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691401484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 0 + 1 + 4 + 8 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1689707820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DR. JAMES HARVEY BELL O.D.

Optometrist

620 19TH ST
CODY, WY
ZIP 82414

(307) 587-4206

DR. JONATHAN HARTLEY O.D.

Optometrist

620 19TH ST
CODY, WY
ZIP 82414

(307) 587-4206

KRISTANZA MARIE BRONNENBERG OD

Optometrist

620 19TH ST
CODY, WY
ZIP 82414

(307) 587-4206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689707820, enumerated as an "organization" on March 14, 2007.

The provider is located at 620 19TH ST CODY, WY 82414 and the phone number is (307) 587-4206.

Optometrist with taxonomy code 152W00000X.