WESTSIDE OPTICAL SHOP,LLC
NPI 1962775817
Eyewear Supplier in Spartanburg, SC

NPI Status: Active since February 22, 2012

Contact Information

1413 JOHN B WHITE SR BLVD
SUITE A
SPARTANBURG, SC
ZIP 29306
Phone: (864) 587-1039
Fax: (864) 587-1936

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  • Organization
  • Eyewear Supplier

About WESTSIDE OPTICAL SHOP,LLC

This page provides the complete NPI Profile along with additional information for Westside Optical Shop,llc, a provider established in Spartanburg, South Carolina operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1962775817 assigned on February 2012. The practitioner's primary taxonomy code is 332H00000X with license number 120021119 (SC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Lawrence Edmund Roel Md (Owner/provider)

NPI
1962775817
Provider Name
WESTSIDE OPTICAL SHOP,LLC
Entity Type
Organization
Location Address
1413 JOHN B WHITE SR BLVD SUITE A SPARTANBURG, SC 29306
Location Phone
(864) 587-1039
Location Fax
(864) 587-1936
Mailing Address
1413 JOHN B WHITE SR BLVD SUITE A SPARTANBURG, SC 29306
Mailing Phone
(864) 587-1039
Mailing Fax
(864) 587-1936
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2012
Last Update Date
05-31-2012
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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
120021119
License State
SC
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

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

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

DR. LAWRENCE EDMUND ROEL MD

Authorized Official Title
OWNER/PROVIDER
Authorized Official Phone
(864) 542-1308

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
1164472098MEDICAID (05)SC 

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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 1962775817, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 7 → 14 → 5 5 → 10 → 1 1 → 2

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 + 4 + 7 + 1 + 0 + 8 + 2 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1962775817.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
1413 JOHN B WHITE SR BLVD, SUITE D
SPARTANBURG, SC 29306
Clinic/Center
1413 JOHN B WHITE SR BLVD, STE. D
SPARTANBURG, SC 29306

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962775817, enumerated as an "organization" on February 22, 2012.

The provider is located at 1413 JOHN B WHITE SR BLVD SUITE A SPARTANBURG, SC 29306 and the phone number is (864) 587-1039.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.