SOUTHWEST HEALTH DARLINGTON CLINIC
NPI 1811511272
Optometrist in Darlington, WI

NPI Status: Active since June 02, 2020

Contact Information

133 PERFORMANCE DRIVE
DARLINGTON, WI
ZIP 53530
Phone: (608) 776-4413

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  • Organization
  • Optometrist
  • Accepts Insurance
  • CLIA Number: 52D2282656
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-23-2027

About SOUTHWEST HEALTH DARLINGTON CLINIC

This page provides the complete NPI Profile along with additional information for Southwest Health Darlington Clinic, a provider established in Darlington, Wisconsin operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1811511272 assigned on June 2020. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Southwest Health Darlington Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Southwest Health Darlington Clinic. The authorized official of this NPI record is Jesse Sookochoff (Cfo)

NPI
1811511272
Provider Legal Name
SOUTHWEST HEALTH CENTER, INC.
Other Organization Name
SOUTHWEST HEALTH DARLINGTON CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
133 PERFORMANCE DRIVE DARLINGTON, WI 53530
Location Phone
(608) 776-4413
Mailing Address
L-4328 COLUMBUS, OH 43260
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2020
Last Update Date
04-03-2024
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

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)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
2207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
3207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
4207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
5225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
6225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
7235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 
8363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

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:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

*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

JESSE SOOKOCHOFF

Authorized Official Title
CFO
Authorized Official Phone
(608) 342-4705

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
52D2282656
Facility Type
Community Clinic
Certificate Effective Date
May 24, 2025
Certificate Expiration Date
May 23, 2027
Laboratory Director
KELLY BUCHS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southwest Health Darlington Clinic 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.

Reviews for SOUTHWEST HEALTH DARLINGTON CLINIC

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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 1811511272, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 1 → 2 5 → 10 → 1 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 2 + 1 + 1 + 0 + 1 + 2 + 2 + 1 + 4 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1811511272.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811511272, enumerated as an "organization" on June 02, 2020.

The provider is located at 133 PERFORMANCE DRIVE DARLINGTON, WI 53530 and the phone number is (608) 776-4413.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.