GILLETTE OPTOMETRIC CLINIC PC
NPI 1891850707
Optometrist - Corneal and Contact Management in Gillette, WY
NPI Status: Active since December 22, 2006
Contact Information
609 4J CT
GILLETTE, WY
ZIP 82716
Phone: (307) 682-2020
Fax: (307) 682-5656
- Organization
- Optometrist
- Corneal and Contact Management
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About GILLETTE OPTOMETRIC CLINIC PC
This page provides the complete NPI Profile along with additional information for Gillette Optometric Clinic Pc, a provider established in Gillette, Wyoming operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1891850707 assigned on December 2006. The practitioner's primary taxonomy code is 152WC0802X with license number 142-T (WY). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Roger L Jordan O.d. (President)
- NPI
- 1891850707
- Provider Name
- GILLETTE OPTOMETRIC CLINIC PC
- Entity Type
- Organization
- Location Address
- 609 4J CT GILLETTE, WY 82716
- Location Phone
- (307) 682-2020
- Location Fax
- (307) 682-5656
- Mailing Address
- 609 4J CT GILLETTE, WY 82716
- Mailing Phone
- (307) 682-2020
- Mailing Fax
- (307) 682-5656
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-22-2006
- Last Update Date
- 04-13-2010
- Code Navigator
Gillette Optometric Clinic Pc is a medicare supplier with PTAN 20574875 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
Optometrist Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- 142-T
- License State
- WY
- Taxonomy Description
- The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
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) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | 93-T (WY) |
| 2 | 152WC0802X | Eye and Vision Services Providers | Optometrist | 288-T (WY) |
| 3 | 152WV0400X | Eye and Vision Services Providers | Optometrist | 263-T (WY) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
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.
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 |
|---|---|---|---|
| U11330 | MEDICARE UPIN (02) | WY | |
| 103952100 | MEDICAID (05) | WY | |
| 1265466320 | OTHER (01) | WY | JOSEPH MAYCOCK, OD |
| 103718800 | MEDICAID (05) | WI | |
| 11504720 | MEDICAID (05) | WY | |
| 5573070001 | MEDICARE NSC (07) | WY | |
| W9902 | MEDICARE ID-TYPE UNSPECIFIED (04) | WY | JOSEPH MAYCOCK, OD |
| W301430 | MEDICARE ID-TYPE UNSPECIFIED (04) | WY | ROBERT MILLS, OD |
| 1023035854 | OTHER (01) | WY | DANA MCDERMOTT, OD |
| U98131 | MEDICARE UPIN (02) | WY | |
| W310289 | MEDICARE ID-TYPE UNSPECIFIED (04) | WY | DANA MCDERMOTT, OD |
| 11903420 | MEDICAID (05) | WY | |
| 1972537561 | OTHER (01) | WY | ROGER JORDAN, OD |
| 1659399376 | OTHER (01) | WY | ROBERT MILLS, OD |
| U80357 | MEDICARE UPIN (02) | WY | |
| U10226 | MEDICARE UPIN (02) | WY | |
| W305124 | MEDICARE ID-TYPE UNSPECIFIED (04) | WY | ROGER JORDAN, OD |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20574875
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
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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 1891850707, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891850707, enumerated as an "organization" on December 22, 2006.
The provider is located at 609 4J CT GILLETTE, WY 82716 and the phone number is (307) 682-2020.
Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, BlueCross. Please consult your insurance carrier or call the provider to verify.
