SAM'S CLUB OPTICAL 30-6650
NPI 1720174550
Technician/Technologist - Optician in Baltimore, MD
NPI Status: Active since October 05, 2006
Contact Information
6410 PETRIE WAY RD
BALTIMORE, MD
ZIP 21237
Phone: (410) 686-2683
- Organization
- Technician/Technologist
- Optician
- Accepts Insurance
- CLIA Number: 21D2143869
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 02-06-2026
About SAM'S CLUB OPTICAL 30-6650
This page provides the complete NPI Profile along with additional information for Sam's Club Optical 30-6650, a provider established in Baltimore, Maryland operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1720174550 assigned on October 2006. The practitioner's primary taxonomy code is 156FX1800X. 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 provider's is doing business as Sam's Club Optical 30-6650. The authorized official of this NPI record is Linda M. Epperson (Npi Coordinator)
- NPI
- 1720174550
- Provider Legal Name
- SAM'S CLUB OPTICAL
- Other Organization Name
- SAM'S CLUB OPTICAL 30-6650
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6410 PETRIE WAY RD BALTIMORE, MD 21237
- Location Phone
- (410) 686-2683
- Mailing Address
- 702 SW 8TH STREET BENTONVILLE, AR 72716
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 08-22-2020
- 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
Technician/Technologist Optician
- Taxonomy Code
- 156FX1800X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
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) |
|---|
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 21D2143869
- Facility Type
- Pharmacy
- Certificate Effective Date
- February 07, 2024
- Certificate Expiration Date
- February 06, 2026
- Laboratory Director
- SCOTT A. MAURER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sam's Club Optical 30-6650 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. | |||||||||
| 1 | 7 | 2 | 0 | 1 | 7 | 4 | 5 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 2 | 7 | 8 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 2 + 7 + 8 + 5 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1720174550 is valid because the calculated check digit 0 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 1720174550, enumerated as an "organization" on October 05, 2006.
The provider is located at 6410 PETRIE WAY RD BALTIMORE, MD 21237 and the phone number is (410) 686-2683.
Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.
