RIVERTON VISION CENTER P.C.
NPI 1962494690
Optometrist in Riverton, WY

NPI Status: Active since August 18, 2005

Contact Information

300 N BROADWAY AVE
RIVERTON, WY
ZIP 82501
Phone: (307) 856-9451
Fax: (307) 856-8548

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 53D1014076
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About RIVERTON VISION CENTER P.C.

This page provides the complete NPI Profile along with additional information for Riverton Vision Center P.c., a provider established in Riverton, Wyoming operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1962494690 assigned on August 2005. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 2 years 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 Mr. Brian J Ballard O.d. (Owner)

NPI
1962494690
Provider Name
RIVERTON VISION CENTER P.C.
Entity Type
Organization
Location Address
300 N BROADWAY AVE RIVERTON, WY 82501
Location Phone
(307) 856-9451
Location Fax
(307) 856-8548
Mailing Address
300 N BROADWAY AVE RIVERTON, WY 82501
Mailing Phone
(307) 856-9451
Mailing Fax
(307) 856-8548
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2005
Last Update Date
05-13-2024
Code Navigator



Riverton Vision Center P.c. is a medicare supplier with PTAN 20671523 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 or Prosthetic Lenses: Prosthetics Cataract 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

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO

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

MR. BRIAN J BALLARD O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(307) 856-9451

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
100015200MEDICAID (05)WY 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20671523
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
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

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
53D1014076
Facility Type
Community Clinic
Certificate Effective Date
June 25, 2003
Certificate Expiration Date
May 22, 2026
Laboratory Director
REBECCA THOMPSON
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Riverton Vision Center P.c. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1962494690, 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 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 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
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 4 → 8 4 → 8 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 + 1 + 2 + 2 + 8 + 9 + 8 + 6 + 1 + 8 + 24 = 80

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

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

80 - 80 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962494690.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Optometrist
300 N BROADWAY AVE
RIVERTON, WY 82501
Optometrist
300 N BROADWAY AVE
RIVERTON, WY 82501
General Practice
300 N BROADWAY AVE
RIVERTON, WY 82501
General Practice
300 N BROADWAY AVE
RIVERTON, WY 82501
Optometrist
300 N BROADWAY AVE
RIVERTON, WY 82501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962494690, enumerated as an "organization" on August 18, 2005.

The provider is located at 300 N BROADWAY AVE RIVERTON, WY 82501 and the phone number is (307) 856-9451.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, Medicare and. Please consult your insurance carrier or call the provider to verify.