STEPHEN NICHOLAS LUNDQUIST OD
NPI 1891216909
Optometrist in Salt Lake City, UT

NPI Status: Active since June 28, 2017

Contact Information

801 S 800 E
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 819-9084

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  • Individual
  • Male
  • Optometrist
  • Opted-Out Medicare

About STEPHEN LUNDQUIST

This page provides the complete NPI Profile along with additional information for Stephen Lundquist, a provider established in Salt Lake City, Utah with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1891216909 assigned on June 2017. The practitioner's primary taxonomy code is 152W00000X with license number 11046583-9934 (UT). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1891216909
Provider Name
STEPHEN NICHOLAS LUNDQUIST OD
Gender
Male
Entity Type
Individual
Location Address
801 S 800 E SALT LAKE CITY, UT 84102
Location Phone
(801) 819-9084
Mailing Address
801 S 800 E SALT LAKE CITY, UT 84102
Mailing Phone
(801) 410-4281
Is Sole Proprietor?
No
Enumeration Date
06-28-2017
Last Update Date
07-21-2022
Code Navigator



The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Stephen Lundquist opted out of Medicare effective on 03-23-2023 until 03-23-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 251 Rhode Island St Ste 110
    San Francisco, CA 94103
    (415) 896-4393

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
License No.
11046583-9934
License State
UT
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)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(CA)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 03-23-2023

  • Opt-Out End Date: 03-23-2027

  • Eligible to Order and Refer? No

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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 1891216909, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 4 + 1 + 1 + 2 + 9 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1891216909.

Other Providers at the Same Location


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

Optometrist
801 S 800 E
SALT LAKE CITY, UT 84102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891216909, enumerated as an "individual" on June 28, 2017.

The provider is located at 801 S 800 E SALT LAKE CITY, UT 84102 and the phone number is (801) 819-9084.

Optometrist with taxonomy code 152W00000X.