MYRTLE GROVE OPTICAL, LLC
NPI 1972716645
Eyewear Supplier in Wilmington, NC

NPI Status: Active since May 08, 2007

Contact Information

1917 TRADD CT
WILMINGTON, NC
ZIP 28401
Phone: (910) 762-2300

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  • Organization
  • Eyewear Supplier

About MYRTLE GROVE OPTICAL, LLC

This page provides the complete NPI Profile along with additional information for Myrtle Grove Optical, Llc, a provider established in Wilmington, North Carolina operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1972716645 assigned on May 2007. The practitioner's primary taxonomy code is 332H00000X with license number 0735 (NC). 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. Timothy G. Kelly M.d. (Owner)

NPI
1972716645
Provider Name
MYRTLE GROVE OPTICAL, LLC
Entity Type
Organization
Location Address
1917 TRADD CT WILMINGTON, NC 28401
Location Phone
(910) 762-2300
Mailing Address
1917 TRADD CT WILMINGTON, NC 28401
Mailing Phone
(910) 762-2300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2007
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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
License No.
0735
License State
NC
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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. TIMOTHY G. KELLY M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(910) 762-2300

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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 1972716645, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
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 7 → 14 → 5 7 → 14 → 5 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 4 + 1 + 1 + 2 + 6 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1972716645.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972716645, enumerated as an "organization" on May 08, 2007.

The provider is located at 1917 TRADD CT WILMINGTON, NC 28401 and the phone number is (910) 762-2300.

Eyewear Supplier with taxonomy code 332H00000X.