MR. TRAVIS ANTHONY PETERSEN BA, MFA
NPI 1962257949
Technician/Technologist - Ocularist in Lehi, UT
NPI Status: Active since April 22, 2024
Contact Information
3305 W MAYFLOWER WAY STE 4
LEHI, UT
ZIP 84043
Phone: (833) 208-9009
Fax: (866) 680-1322
- Individual
- Male
- Technician/Technologist
- Ocularist
About TRAVIS PETERSEN
This page provides the complete NPI Profile along with additional information for Travis Petersen, a provider established in Lehi, Utah with a medical specialization in Technician/technologist, focusing in ocularist . The healthcare provider is registered in the NPI registry with number 1962257949 assigned on April 2024. The practitioner's primary taxonomy code is 156FX1700X. The provider is registered as an individual and his NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1962257949
- Provider Name
- MR. TRAVIS ANTHONY PETERSEN BA, MFA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3305 W MAYFLOWER WAY STE 4 LEHI, UT 84043
- Location Phone
- (833) 208-9009
- Location Fax
- (866) 680-1322
- Mailing Address
- 3305 W MAYFLOWER WAY STE 4 LEHI, UT 84043
- Mailing Phone
- (833) 208-9009
- Mailing Fax
- (866) 680-1322
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-22-2024
- Last Update Date
- 04-22-2024
- 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
Technician/Technologist Ocularist
- Taxonomy Code
- 156FX1700X
- Type
- Eye and Vision Services Providers
- Taxonomy Description
- An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.
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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 2 | 5 | 7 | 9 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 4 | 5 | 14 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 4 + 5 + 1 + 4 + 9 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1962257949 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
ADVANCED EYE PROSTHETICS LLC
Durable Medical Equipment & Medical Supplies
3305 W MAYFLOWER WAY STE 4
LEHI, UT
ZIP 84043
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962257949, enumerated as an "individual" on April 22, 2024.
The provider is located at 3305 W MAYFLOWER WAY STE 4 LEHI, UT 84043 and the phone number is (833) 208-9009.
Technician/Technologist with taxonomy code 156FX1700X and a focus in Ocularist.
