TOMOKA OPTICAL
NPI 1891747176
Durable Medical Equipment & Medical Supplies - Customized Equipment in Port Orange, FL

NPI Status: Active since May 16, 2006

Contact Information

790 DUNLAWTON AVE
SUITE A
PORT ORANGE, FL
ZIP 32127
Phone: (386) 767-0053
Fax: (386) 767-3490

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 10D2113324
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 05-18-2028

About TOMOKA OPTICAL

This page provides the complete NPI Profile along with additional information for Tomoka Optical, a provider established in Port Orange, Florida operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1891747176 assigned on May 2006. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Tomoka Optical. The authorized official of this NPI record is Allison Kern (Office/billing Manager)

NPI
1891747176
Provider Legal Name
TOMOKA EYE ASSOCIATES, P.A.
Other Organization Name
TOMOKA OPTICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
790 DUNLAWTON AVE SUITE A PORT ORANGE, FL 32127
Location Phone
(386) 767-0053
Location Fax
(386) 767-3490
Mailing Address
790 DUNLAWTON AVE SUITE A PORT ORANGE, FL 32127
Mailing Phone
(386) 767-0053
Mailing Fax
(386) 767-3490
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
03-06-2020
Code Navigator



Tomoka Optical is a medicare supplier with PTAN 20607227 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses.

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

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Access - HMO
  • Molina Silver Access Plus with Adult Dental and Vision - HMO
  • Molina Silver Access Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

*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

ALLISON KERN

Authorized Official Title
OFFICE/BILLING MANAGER
Authorized Official Phone
(386) 506-8403

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20607227
Accepts Medicare Assignment
YES
Specialities List
Optometrist, Optician.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

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
10D2113324
Facility Type
Practitioner Other
Certificate Effective Date
May 19, 2026
Certificate Expiration Date
May 18, 2028
Laboratory Director
RORY MYER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tomoka Optical 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 TOMOKA OPTICAL

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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 1891747176, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
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 7 → 14 → 5 7 → 14 → 5 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 + 1 + 8 + 1 + 1 + 4 + 4 + 1 + 4 + 1 + 1 + 4 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1891747176.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Audiologist-Hearing Aid Fitter
790 DUNLAWTON AVE, STE A
PORT ORANGE, FL 32127
Family Medicine
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Family Medicine
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Hearing Aid Equipment
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127
Family Medicine
790 DUNLAWTON AVE, SUITE G
PORT ORANGE, FL 32127
Dentist
790 DUNLAWTON AVE, SUITE F
PORT ORANGE, FL 32127
Nurse Practitioner (Family)
790 DUNLAWTON AVE, SUITE E
PORT ORANGE, FL 32127
Hearing Instrument Specialist
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127
Clinic/Center (Dental)
790 DUNLAWTON AVE, SUITE F
PORT ORANGE, FL 32127
Family Medicine
790 DUNLAWTON AVE, STE G
PORT ORANGE, FL 32127
Specialist
790 DUNLAWTON AVE, SUITE D
PORT ORANGE, FL 32127
Hearing Aid Equipment
790 DUNLAWTON AVE, SUITE B
PORT ORANGE, FL 32127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891747176, enumerated as an "organization" on May 16, 2006.

The provider is located at 790 DUNLAWTON AVE SUITE A PORT ORANGE, FL 32127 and the phone number is (386) 767-0053.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.