SAMUEL HATHY III,O.D.
NPI 1801191960
Eyewear Supplier in Jacksonville, FL

NPI Status: Active since January 21, 2011

Contact Information

11111 SAN JOSE BLVD STE 44
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 292-3976
Fax: (904) 292-5322

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  • Organization
  • Eyewear Supplier

About SAMUEL HATHY III,O.D.

This page provides the complete NPI Profile along with additional information for Samuel Hathy Iii,o.d., a provider established in Jacksonville, Florida operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1801191960 assigned on January 2011. The practitioner's primary taxonomy code is 332H00000X with license number FL-OPC-2361 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Samuel Hathy Iii O.d. (Doctor)

NPI
1801191960
Provider Name
SAMUEL HATHY III,O.D.
Entity Type
Organization
Location Address
11111 SAN JOSE BLVD STE 44 JACKSONVILLE, FL 32223
Location Phone
(904) 292-3976
Location Fax
(904) 292-5322
Mailing Address
11111-44 SAN JOSE BLVD JACKSONVILLE, FL 32223
Mailing Phone
(904) 292-3976
Mailing Fax
(904) 292-5322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-21-2011
Last Update Date
01-21-2011
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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.
FL-OPC-2361
License State
FL
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

DR. SAMUEL HATHY III O.D.

Authorized Official Title
DOCTOR
Authorized Official Phone
(904) 292-3976

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
20163MEDICARE PIN (08)FL 
U05440MEDICARE UPIN (02)FL 

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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 1801191960, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 0 → 0 1 → 2 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 + 8 + 0 + 1 + 2 + 9 + 2 + 9 + 1 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1801191960.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
11111 SAN JOSE BLVD STE 44
JACKSONVILLE, FL 32223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801191960, enumerated as an "organization" on January 21, 2011.

The provider is located at 11111 SAN JOSE BLVD STE 44 JACKSONVILLE, FL 32223 and the phone number is (904) 292-3976.

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.