BLAIRWOOD OPTICAL, LLC
NPI 1851056865
Eyewear Supplier in Portal, GA

NPI Status: Active since November 04, 2021

Contact Information

27184 US HIGHWAY 80 W
PORTAL, GA
ZIP 30450
Phone: (912) 865-5300
Fax: (912) 865-5336

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  • Organization
  • Eyewear Supplier

About BLAIRWOOD OPTICAL, LLC

This page provides the complete NPI Profile along with additional information for Blairwood Optical, Llc, a provider established in Portal, Georgia operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1851056865 assigned on November 2021. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Blairwood Optical, Llc 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 Krystal Lynn Penley Ldo2341 (C0 Owner)

NPI
1851056865
Provider Name
BLAIRWOOD OPTICAL, LLC
Entity Type
Organization
Location Address
27184 US HIGHWAY 80 W PORTAL, GA 30450
Location Phone
(912) 865-5300
Location Fax
(912) 865-5336
Mailing Address
PO BOX 710 PORTAL, GA 30450
Mailing Phone
(912) 865-5300
Mailing Fax
(912) 865-5336
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2021
Last Update Date
12-07-2021
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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
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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)
1156FX1800XEye and Vision Services Providers

Technician/Technologist
Optician

 

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

KRYSTAL LYNN PENLEY LDO2341

Authorized Official Title
C0 OWNER
Authorized Official Phone
(912) 865-5300

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
LDO2341OTHER (01)GALICENSED DISPENSING OPTICAN

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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 1851056865, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
5
Doubled → 10 → 1 + 0
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
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 5 → 10 → 1 0 → 0 6 → 12 → 3 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 + 1 + 0 + 1 + 0 + 5 + 1 + 2 + 8 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1851056865.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851056865, enumerated as an "organization" on November 04, 2021.

The provider is located at 27184 US HIGHWAY 80 W PORTAL, GA 30450 and the phone number is (912) 865-5300.

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.