EYECARE ASSOCIATES OF SOUTHERN OREGON PC
NPI 1902981087
Optometrist in Medford, OR

NPI Status: Active since October 26, 2006

Contact Information

935 ROYAL AVE
MEDFORD, OR
ZIP 97504
Phone: (541) 779-2211
Fax: (541) 779-8778

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About EYECARE ASSOCIATES OF SOUTHERN OREGON PC

This page provides the complete NPI Profile along with additional information for Eyecare Associates Of Southern Oregon Pc, a provider established in Medford, Oregon operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1902981087 assigned on October 2006. The practitioner's primary taxonomy code is 152W00000X with license number 3079AT (OR). The provider is registered as an organization and their NPI record was last updated 15 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 Mr. Brian K Mitchell O. D. (President)

NPI
1902981087
Provider Name
EYECARE ASSOCIATES OF SOUTHERN OREGON PC
Entity Type
Organization
Location Address
935 ROYAL AVE MEDFORD, OR 97504
Location Phone
(541) 779-2211
Location Fax
(541) 779-8778
Mailing Address
935 ROYAL AVE MEDFORD, OR 97504
Mailing Phone
(541) 779-2211
Mailing Fax
(541) 779-8778
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2006
Last Update Date
06-16-2011
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Eyecare Associates Of Southern Oregon Pc is a medicare supplier with PTAN 20600765 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: Prosthetics Cataract 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

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
3079AT
License State
OR
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:

  • 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
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - 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.

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

MR. BRIAN K MITCHELL O. D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(541) 779-2211

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
026488MEDICAID (05)OR 
229948MEDICAID (05)OR 
R115635MEDICARE PIN (08)OR 
R115636MEDICARE PIN (08)OR 
U50440MEDICARE UPIN (02)OR 
4832540002MEDICARE NSC (07)OR 
R135334MEDICARE PIN (08)OR 
064886MEDICAID (05)OR 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20600765
Accepts Medicare Assignment
YES
Specialities List
Optometrist, Optician.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

Reviews for EYECARE ASSOCIATES OF SOUTHERN OREGON PC

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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 1902981087, 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 0 → 0 9 → 18 → 9 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 1 + 8 + 8 + 2 + 0 + 1 + 6 + 24 = 63

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.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1902981087.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Optometrist
935 ROYAL AVE
MEDFORD, OR 97504
Optometrist
935 ROYAL AVE
MEDFORD, OR 97504
Optometrist
935 ROYAL AVE
MEDFORD, OR 97504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902981087, enumerated as an "organization" on October 26, 2006.

The provider is located at 935 ROYAL AVE MEDFORD, OR 97504 and the phone number is (541) 779-2211.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Moda Health. Please consult your insurance carrier or call the provider to verify.