FREDERICK CUSTOMEYEZ IN ST. LOUIS
NPI 1912603507
Clinic/Center in Saint Louis, MO
NPI Status: Active since February 06, 2023
Contact Information
1834 CRAIG RD
SAINT LOUIS, MO
ZIP 63146
Phone: (401) 584-3939
- Organization
- Clinic/Center
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About FREDERICK CUSTOMEYEZ IN ST. LOUIS
This page provides the complete NPI Profile along with additional information for Frederick Customeyez In St. Louis, a provider established in Saint Louis, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1912603507 assigned on February 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Melissa Frederick (Owner)
- NPI
- 1912603507
- Provider Name
- FREDERICK CUSTOMEYEZ IN ST. LOUIS
- Entity Type
- Organization
- Location Address
- 1834 CRAIG RD SAINT LOUIS, MO 63146
- Location Phone
- (401) 584-3939
- Mailing Address
- 9278 PARADISE DR PANAMA CITY BEACH, FL 32413
- Mailing Phone
- (401) 584-3939
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-06-2023
- Last Update Date
- 07-03-2025
- Code Navigator
Frederick Customeyez In St. Louis is a medicare supplier with PTAN 20469209 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Ocular Prostheses.
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20469209
- Accepts Medicare Assignment
- NO
- Specialities List
- Optician.
- Provider Type List
- OCULARISTS.
- Competitive Bidding
- NO
Supplies List
- Ocular Prostheses - Prosthetic eyes
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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 1912603507, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SAINT LOUIS, MO 63146
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912603507, enumerated as an "organization" on February 06, 2023.
The provider is located at 1834 CRAIG RD SAINT LOUIS, MO 63146 and the phone number is (401) 584-3939.
Clinic/Center with taxonomy code 261Q00000X.
