PRESCOTT VALLEY OPTICAL, PLLC
NPI 1780991661
Eyewear Supplier in Prescott Valley, AZ

NPI Status: Active since September 13, 2010

Contact Information

3153 N WINDSONG DR
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 771-9939
Fax: (928) 772-3972

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  • Organization
  • Eyewear Supplier
  • CLIA Number: 03D0684005
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-01-2027

About PRESCOTT VALLEY OPTICAL, PLLC

This page provides the complete NPI Profile along with additional information for Prescott Valley Optical, Pllc, a provider established in Prescott Valley, Arizona operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1780991661 assigned on September 2010. The practitioner's primary taxonomy code is 332H00000X with license number 909 (AZ). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Brian John Courtright O.d. (President)

NPI
1780991661
Provider Name
PRESCOTT VALLEY OPTICAL, PLLC
Entity Type
Organization
Location Address
3153 N WINDSONG DR PRESCOTT VALLEY, AZ 86314
Location Phone
(928) 771-9939
Location Fax
(928) 772-3972
Mailing Address
3153 N WINDSONG DR PRESCOTT VALLEY, AZ 86314
Mailing Phone
(928) 771-9939
Mailing Fax
(928) 772-3972
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2010
Last Update Date
09-13-2010
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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.
909
License State
AZ
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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. BRIAN JOHN COURTRIGHT O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(928) 771-9939

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
03D0684005
Facility Type
Physician Office
Certificate Effective Date
August 02, 2025
Certificate Expiration Date
August 01, 2027
Laboratory Director
SCOTT FINKBEINER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Prescott Valley Optical, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1780991661, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 8 → 16 → 7 9 → 18 → 9 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 8 + 9 + 2 + 6 + 1 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1780991661.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
3153 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314
Optometrist
3153 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780991661, enumerated as an "organization" on September 13, 2010.

The provider is located at 3153 N WINDSONG DR PRESCOTT VALLEY, AZ 86314 and the phone number is (928) 771-9939.

Eyewear Supplier with taxonomy code 332H00000X.