PREMIER EYE SURGERY LLC
NPI 1932819836
Clinic/Center - Ambulatory Surgical in Port Orange, FL

NPI Status: Active since December 01, 2022

Contact Information

3641 CLYDE MORRIS BLVD STE 500
PORT ORANGE, FL
ZIP 32129
Phone: (386) 788-6198

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PREMIER EYE SURGERY LLC

This page provides the complete NPI Profile along with additional information for Premier Eye Surgery Llc, a provider established in Port Orange, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1932819836 assigned on December 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Qing Ge Md (Medical Director)

NPI
1932819836
Provider Name
PREMIER EYE SURGERY LLC
Entity Type
Organization
Location Address
3641 CLYDE MORRIS BLVD STE 500 PORT ORANGE, FL 32129
Location Phone
(386) 788-6198
Mailing Address
3641 CLYDE MORRIS BLVD STE 500 PORT ORANGE, FL 32129
Mailing Phone
(386) 788-6198
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2022
Last Update Date
08-22-2023
Code Navigator



Premier Eye Surgery Llc is a medicare supplier with PTAN 20606879 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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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)
1261QS0132XAmbulatory Health Care Facilities

Clinic/Center
Ophthalmologic Surgery

 

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

QING GE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(386) 788-6198

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20606879
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 1932819836, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 6 + 2 + 1 + 6 + 1 + 1 + 8 + 8 + 6 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1932819836.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Ophthalmology (Glaucoma Specialist)
3641 CLYDE MORRIS BLVD STE 500
PORT ORANGE, FL 32129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932819836, enumerated as an "organization" on December 01, 2022.

The provider is located at 3641 CLYDE MORRIS BLVD STE 500 PORT ORANGE, FL 32129 and the phone number is (386) 788-6198.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.