KIM E NEELY
NPI 1992982912
Eyewear Supplier in Putnam, CT

NPI Status: Active since January 22, 2008

Contact Information

5 KENNEDY DR
PUTNAM, CT
ZIP 06260
Phone: (860) 928-6321

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Eyewear Supplier

About KIM E NEELY

This page provides the complete NPI Profile along with additional information for Kim E Neely, a provider established in Putnam, Connecticut operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1992982912 assigned on January 2008. The practitioner's primary taxonomy code is 332H00000X with license number 000812 (CT). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Erica O'brien L.o. (Licensed Optician)

NPI: 1992982912
Provider Name: KIM E NEELY
Entity Type: Organization
Location Address: 5 KENNEDY DR PUTNAM, CT 06260
Location Phone: (860) 928-6321
Mailing Address: 5 KENNEDY DR PUTNAM, CT 06260
Mailing Phone: (860) 928-6321
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-22-2008
Last Update Date: 09-08-2008
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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.: 000812
License State: CT
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:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: MRS. ERICA O'BRIEN L.O.
Authorized Official Title: LICENSED OPTICIAN
Authorized Official Phone: (860) 928-6321

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
004167492	MEDICAID (05)	CT
0821000001	MEDICARE NSC (07)	CT

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	9	2	9	8	2	9	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	18	2	18	8	4	9	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 8 + 8 + 4 + 9 + 2 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 2									2

The NPI number 1992982912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.