PORT ST. JOE OFFICE
NPI 1912002395
Optometrist in Port St Joe, FL

NPI Status: Active since September 13, 2006

Contact Information

528B 5TH ST
PORT ST JOE, FL
ZIP 32456
Phone: (850) 227-7266
Fax: (850) 229-2595

Get Directions Write a Review

  • Organization
  • Optometrist

About PORT ST. JOE OFFICE

This page provides the complete NPI Profile along with additional information for Port St. Joe Office, a provider established in Port St Joe, Florida operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1912002395 assigned on September 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Port St. Joe Office operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Port St. Joe Office. The authorized official of this NPI record is Ms. Kathi Nichols (Office Manager)

NPI
1912002395
Provider Legal Name
EYE CENTER OF NORTH FLORIDA, P.A.
Other Organization Name
PORT ST. JOE OFFICE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
528B 5TH ST PORT ST JOE, FL 32456
Location Phone
(850) 227-7266
Location Fax
(850) 229-2595
Mailing Address
2500 MARTIN LUTHER KING JR. BLVD PANAMA CITY, FL 32405
Mailing Phone
(850) 784-3937
Mailing Fax
(850) 229-2595
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-13-2006
Last Update Date
04-20-2023
Code Navigator

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
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)
1152WC0802XEye and Vision Services Providers

Optometrist
Corneal and Contact Management

 
2152WL0500XEye and Vision Services Providers

Optometrist
Low Vision Rehabilitation

 
3152WP0200XEye and Vision Services Providers

Optometrist
Pediatrics

 
4207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
5332H00000XSuppliers

Eyewear Supplier

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

MS. KATHI NICHOLS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(850) 784-3937

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
1740213529OTHER (01)FLGROUP NPI
CG6943OTHER (01)FLRR MEDICARE
257952901MEDICAID (05)FL 
45154COTHER (01)FLBLUE CROSS & BLUE SHIELD

Reviews for PORT ST. JOE OFFICE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1912002395, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 0 + 0 + 4 + 3 + 1 + 8 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1912002395.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912002395, enumerated as an "organization" on September 13, 2006.

The provider is located at 528B 5TH ST PORT ST JOE, FL 32456 and the phone number is (850) 227-7266.

Optometrist with taxonomy code 152W00000X.

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