DEREK BONACCI
NPI 1710263074
Optometrist in Alexandria, MN

NPI Status: Active since October 31, 2011

Contact Information

4611 HIGHWAY 29 S
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 762-4044
Fax: (320) 762-4046

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

Organization
Optometrist

About DEREK BONACCI

This page provides the complete NPI Profile along with additional information for Derek Bonacci, a provider established in Alexandria, Minnesota operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1710263074 assigned on October 2011. The practitioner's primary taxonomy code is 152W00000X with license number 3170 (MN). The provider is registered as an organization and their NPI record was last updated 14 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 provider's is doing business as Derek Bonacci. The authorized official of this NPI record is Dr. Derek John Bonacci O.d. (Optometry)

NPI: 1710263074
Provider Legal Name: BONACCI OPTOMETRY INC., P.C.
Other Organization Name: DEREK BONACCI
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 4611 HIGHWAY 29 S ALEXANDRIA, MN 56308
Location Phone: (320) 762-4044
Location Fax: (320) 762-4046
Mailing Address: 11 GLENVIEW LOOP SAINT CLOUD, MN 56303
Mailing Phone: (407) 415-7551
Mailing Fax: (320) 762-4046
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-31-2011
Last Update Date: 10-31-2011
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
License No.: 3170
License State: MN
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. DEREK JOHN BONACCI O.D.
Authorized Official Title: OPTOMETRY
Authorized Official Phone: (407) 415-7551

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	7	1	0	2	6	3	0	7	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	2	0	4	6	6	0	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 4 + 6 + 6 + 0 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1710263074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.