THIRD EYE WOUND CARE, PLLC
NPI 1770030587
Family Medicine - Geriatric Medicine in Fort Worth, TX

NPI Status: Active since September 09, 2016

Contact Information

3437 W 7TH ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 688-1588
Fax: (817) 423-7361

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  • Organization
  • Family Medicine
  • Geriatric Medicine

About THIRD EYE WOUND CARE, PLLC

This page provides the complete NPI Profile along with additional information for Third Eye Wound Care, Pllc, a primary care provider established in Fort Worth, Texas operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1770030587 assigned on September 2016. The practitioner's primary taxonomy code is 207QG0300X with license number K9653 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. Third Eye Wound Care, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Mark Allen Sanders Do (President, Ceo)

NPI
1770030587
Provider Name
THIRD EYE WOUND CARE, PLLC
Entity Type
Organization
Location Address
3437 W 7TH ST FORT WORTH, TX 76107
Location Phone
(817) 688-1588
Location Fax
(817) 423-7361
Mailing Address
3437 W 7TH ST FORT WORTH, TX 76107
Mailing Phone
(817) 688-1588
Mailing Fax
(817) 423-7361
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2016
Last Update Date
09-09-2016
Code Navigator

A primary care provider (PCP) like Third Eye Wound Care, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
License No.
K9653
License State
TX
Taxonomy Description
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

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)
1207QH0002XAllopathic & Osteopathic Physicians

Family Medicine
Hospice and Palliative Medicine

K9653 (TX)
2209800000XAllopathic & Osteopathic Physicians

Legal Medicine

K9653 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. MARK ALLEN SANDERS DO

Authorized Official Title
PRESIDENT, CEO
Authorized Official Phone
(817) 688-1588

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
314993MEDICARE PIN (08)TX 

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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 1770030587, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 7 → 14 → 5 0 → 0 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 0 + 3 + 0 + 5 + 1 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770030587.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
3437 W 7TH ST
FORT WORTH, TX 76107
Family Medicine
3437 W 7TH ST
FORT WORTH, TX 76107
Family Medicine
3437 W 7TH ST
FORT WORTH, TX 76107
Nurse Practitioner (Gerontology)
3437 W 7TH ST
FORT WORTH, TX 76107
Preventive Medicine (Undersea and Hyperbaric Medicine)
3437 W 7TH ST, SUITE 210
FORT WORTH, TX 76107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770030587, enumerated as an "organization" on September 09, 2016.

The provider is located at 3437 W 7TH ST FORT WORTH, TX 76107 and the phone number is (817) 688-1588.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.

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