LUMEN OPTICAL ILLINOIS 4, LLC
NPI 1700322922
Optometrist in Bucktown, IL

NPI Status: Active since January 11, 2017

Contact Information

2420 N ELSTON
BUCKTOWN, IL
ZIP 60647
Phone: (801) 316-5508

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  • Organization
  • Optometrist

About LUMEN OPTICAL ILLINOIS 4, LLC

This page provides the complete NPI Profile along with additional information for Lumen Optical Illinois 4, Llc, a provider established in Bucktown, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1700322922 assigned on January 2017. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brendon Dean Quarnberg (Privacy Officer)

NPI
1700322922
Provider Name
LUMEN OPTICAL ILLINOIS 4, LLC
Entity Type
Organization
Location Address
2420 N ELSTON BUCKTOWN, IL 60647
Location Phone
(801) 316-5508
Mailing Address
2420 N ELSTON BUCKTOWN, IL 60647
Mailing Phone
(801) 316-5508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2017
Last Update Date
01-11-2017
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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

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.

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)
1152WP0200XEye and Vision Services Providers

Optometrist
Pediatrics

 
2152WV0400XEye and Vision Services Providers

Optometrist
Vision Therapy

 
3152WX0102XEye and Vision Services Providers

Optometrist
Occupational Vision

 
4156F00000XEye and Vision Services Providers

Technician/Technologist

 
5156FC0800XEye and Vision Services Providers

Technician/Technologist
Contact Lens

 
6156FC0801XEye and Vision Services Providers

Technician/Technologist
Contact Lens Fitter

 
7156FX1800XEye and Vision Services Providers

Technician/Technologist
Optician

 
8332H00000XSuppliers

Eyewear Supplier

 

Group Taxonomy 193400000X MULTIPLE 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

BRENDON DEAN QUARNBERG

Authorized Official Title
PRIVACY OFFICER
Authorized Official Phone
(801) 316-5508

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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 1700322922, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
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 0 → 0 3 → 6 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 6 + 2 + 4 + 9 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1700322922.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700322922, enumerated as an "organization" on January 11, 2017.

The provider is located at 2420 N ELSTON BUCKTOWN, IL 60647 and the phone number is (801) 316-5508.

Optometrist with taxonomy code 152W00000X.