EVERGREEN EYECARE P.C.
NPI 1962252130
Optometrist in Highlands Ranch, CO

NPI Status: Active since March 22, 2024

Contact Information

1265 SGT JON STILES DR
HIGHLANDS RANCH, CO
ZIP 80129
Phone: (708) 833-0711

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  • Organization
  • Optometrist
  • CLIA Number: 06D2302394
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-09-2026

About EVERGREEN EYECARE P.C.

This page provides the complete NPI Profile along with additional information for Evergreen Eyecare P.c., a provider established in Highlands Ranch, Colorado operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1962252130 assigned on March 2024. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated one year 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 Thanh Le Od (Managing Member)

NPI
1962252130
Provider Name
EVERGREEN EYECARE P.C.
Entity Type
Organization
Location Address
1265 SGT JON STILES DR HIGHLANDS RANCH, CO 80129
Location Phone
(708) 833-0711
Mailing Address
PO BOX 630147 LITTLETON, CO 80163
Mailing Phone
(708) 833-0711
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2024
Last Update Date
04-10-2025
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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
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.

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

THANH LE OD

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(708) 833-0711

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2302394
Facility Type
Practitioner Other
Certificate Effective Date
April 10, 2024
Certificate Expiration Date
April 09, 2026
Laboratory Director
THANH LE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evergreen Eyecare P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1962252130, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 6 → 12 → 3 2 → 4 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 4 + 5 + 4 + 1 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962252130.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Pharmacist
1265 SGT JON STILES DR, T-2716
HIGHLANDS RANCH, CO 80129
Pharmacist
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Pharmacist
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Pharmacy
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Eyewear Supplier
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Pharmacist
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Optometrist
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Optometrist
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Pharmacist
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129
Optometrist
1265 SGT JON STILES DR
HIGHLANDS RANCH, CO 80129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962252130, enumerated as an "organization" on March 22, 2024.

The provider is located at 1265 SGT JON STILES DR HIGHLANDS RANCH, CO 80129 and the phone number is (708) 833-0711.

Optometrist with taxonomy code 152W00000X.