CLEVELAND OPTICAL DISPENSARY, INC.
NPI 1760669147
Eyewear Supplier in Cleveland, TN

NPI Status: Active since January 28, 2008

Contact Information

2415 CHAMBLISS AVE NW
CLEVELAND, TN
ZIP 37311
Phone: (423) 479-4397
Fax: (423) 476-2974

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  • Organization
  • Eyewear Supplier

About CLEVELAND OPTICAL DISPENSARY, INC.

This page provides the complete NPI Profile along with additional information for Cleveland Optical Dispensary, Inc., a provider established in Cleveland, Tennessee operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1760669147 assigned on January 2008. The practitioner's primary taxonomy code is 332H00000X with license number DPO636 (TN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Maurise Gene Vandergriff Sr. L.d.o. (Owner)

NPI
1760669147
Provider Name
CLEVELAND OPTICAL DISPENSARY, INC.
Entity Type
Organization
Location Address
2415 CHAMBLISS AVE NW CLEVELAND, TN 37311
Location Phone
(423) 479-4397
Location Fax
(423) 476-2974
Mailing Address
2415 CHAMBLISS AVE NW P.O. BOX 2728 CLEVELAND, TN 37311
Mailing Phone
(423) 479-4397
Mailing Fax
(423) 476-2974
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2008
Last Update Date
01-28-2008
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
DPO636
License State
TN
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. MAURISE GENE VANDERGRIFF SR. L.D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(423) 479-4397

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0243820001MEDICARE NSC (07)TN 

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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 1760669147, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
7
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 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 2 + 6 + 1 + 8 + 1 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1760669147.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Technician/Technologist (Optician)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Nurse Practitioner (Family)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Internal Medicine (Gastroenterology)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Nurse Practitioner (Family)
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Nurse Practitioner
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Nurse Practitioner
2415 CHAMBLISS AVE NW
CLEVELAND, TN 37311

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760669147, enumerated as an "organization" on January 28, 2008.

The provider is located at 2415 CHAMBLISS AVE NW CLEVELAND, TN 37311 and the phone number is (423) 479-4397.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.