COLUMBINE EYECARE CENTER
NPI 1902080716
Optometrist in Lakewood, CO

NPI Status: Active since December 28, 2007

Contact Information

1345 WADSWORTH BLVD
LAKEWOOD, CO
ZIP 80214
Phone: (303) 238-9900
Fax: (303) 238-8527

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  • Organization
  • Optometrist

About COLUMBINE EYECARE CENTER

This page provides the complete NPI Profile along with additional information for Columbine Eyecare Center, a provider established in Lakewood, Colorado operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1902080716 assigned on December 2007. The practitioner's primary taxonomy code is 152W00000X with license number ESP1196 (CO). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Columbine Eyecare Center. The authorized official of this NPI record is Dr. David Kim Crockett O.d. (President/ Optometrist)

NPI
1902080716
Provider Legal Name
CROCKETT VISION CENTER INC.
Other Organization Name
COLUMBINE EYECARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1345 WADSWORTH BLVD LAKEWOOD, CO 80214
Location Phone
(303) 238-9900
Location Fax
(303) 238-8527
Mailing Address
1345 WADSWORTH BLVD LAKEWOOD, CO 80214
Mailing Phone
(303) 238-9900
Mailing Fax
(303) 238-8527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2007
Last Update Date
02-03-2009
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
ESP1196
License State
CO
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.

Group Taxonomy 193400000X 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:

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

DR. DAVID KIM CROCKETT O.D.

Authorized Official Title
PRESIDENT/ OPTOMETRIST
Authorized Official Phone
(303) 238-9900

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
0171790001MEDICARE NSC (07)CO 
C383008MEDICARE PIN (08)CO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902080716
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290208072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 0 + 8 + 0 + 7 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1902080716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. AMANDA MILLS DAILEY O.D.

Optometrist

1345 WADSWORTH BLVD
LAKEWOOD, CO
ZIP 80214

(303) 238-9900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902080716, enumerated as an "organization" on December 28, 2007.

The provider is located at 1345 WADSWORTH BLVD LAKEWOOD, CO 80214 and the phone number is (303) 238-9900.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.