OPTIMUM CLINICAL CARE, PLLC
NPI 1962620005
Clinic/Center in Charlotte, NC

NPI Status: Active since April 23, 2007

Contact Information

2711 RANDOLPH RD
SUITE 140
CHARLOTTE, NC
ZIP 28207
Phone: (704) 333-1555
Fax: (704) 333-1553

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  • Organization
  • Clinic/Center

About OPTIMUM CLINICAL CARE, PLLC

This page provides the complete NPI Profile along with additional information for Optimum Clinical Care, Pllc, a provider established in Charlotte, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1962620005 assigned on April 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Raymond Thertulien M.d., Ph.d. (Member)

NPI
1962620005
Provider Name
OPTIMUM CLINICAL CARE, PLLC
Entity Type
Organization
Location Address
2711 RANDOLPH RD SUITE 140 CHARLOTTE, NC 28207
Location Phone
(704) 333-1555
Location Fax
(704) 333-1553
Mailing Address
PO BOX 220504 CHARLOTTE, NC 28222
Mailing Phone
(704) 333-1555
Mailing Fax
(704) 333-1553
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2007
Last Update Date
08-22-2020
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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

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).

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

DR. RAYMOND THERTULIEN M.D., PH.D.

Authorized Official Title
MEMBER
Authorized Official Phone
(704) 333-1555

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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 1962620005, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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

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 + 1 + 2 + 2 + 0 + 0 + 0 + 24 = 45

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

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962620005.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
2711 RANDOLPH RD, STE 512
CHARLOTTE, NC 28207
Obstetrics & Gynecology (Gynecology)
2711 RANDOLPH RD, STE 512
CHARLOTTE, NC 28207
Internal Medicine
2711 RANDOLPH RD, SUITE 505
CHARLOTTE, NC 28207
Nurse Practitioner (Women's Health)
2711 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28207
Pediatrics
2711 RANDOLPH RD, SUITE 501
CHARLOTTE, NC 28207
Internal Medicine (Nephrology)
2711 RANDOLPH RD, BLDG 400
CHARLOTTE, NC 28207
Internal Medicine (Nephrology)
2711 RANDOLPH RD, BLDG 400
CHARLOTTE, NC 28207
Internal Medicine (Nephrology)
2711 RANDOLPH RD, BLDG 400
CHARLOTTE, NC 28207
Specialist
2711 RANDOLPH RD, SUITE 100
CHARLOTTE, NC 28207
Dentist
2711 RANDOLPH RD, SUITE 205
CHARLOTTE, NC 28207
Occupational Therapist (Pediatrics)
2711 RANDOLPH RD, SUITE 509
CHARLOTTE, NC 28207
Preventive Medicine (Occupational Medicine)
2711 RANDOLPH RD
CHARLOTTE, NC 28207
Surgery (Plastic and Reconstructive Surgery)
2711 RANDOLPH RD, SUITE # 502
CHARLOTTE, NC 28207
Dentist (Orthodontics and Dentofacial Orthopedics)
2711 RANDOLPH RD, SUITE 600
CHARLOTTE, NC 28207
Surgery (Surgery of the Hand)
2711 RANDOLPH RD, SUITE 305
CHARLOTTE, NC 28207
Dentist (General Practice)
2711 RANDOLPH RD, SUITE 205
CHARLOTTE, NC 28207
Chiropractor
2711 RANDOLPH RD, SUITE 203
CHARLOTTE, NC 28207
Dentist (Pediatric Dentistry)
2711 RANDOLPH RD, STE 201
CHARLOTTE, NC 28207
Physical Therapist (Pediatrics)
2711 RANDOLPH RD, 509
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
2711 RANDOLPH RD, BLDG 400
CHARLOTTE, NC 28207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962620005, enumerated as an "organization" on April 23, 2007.

The provider is located at 2711 RANDOLPH RD SUITE 140 CHARLOTTE, NC 28207 and the phone number is (704) 333-1555.

Clinic/Center with taxonomy code 261Q00000X.