GLEN D NYDAM O.D.
NPI 1003887688
Optometrist in Mitchell,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 31, 2006

Contact Information

305 N Sanborn Blvd
Mitchell,
Post Code: 57301
Phone: (605) 996-2537
Fax: (605) 996-0500

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Glen D Nydam O.d. in Mitchell - Optometrist

Glen D Nydam O.d. is a Optometrist in Mitchell, . Glen D Nydam O.d. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Glen D Nydam O.d. is 1003887688. The last update date is 2022-11-10.

Glen D Nydam O.d.'s current location address is 305 N Sanborn Blvd, Mitchell, . You can contact this provider via phone number (605) 996-2537 and fax number (605) 996-0500. The mailing address for Glen D Nydam O.d. is 305 N Sanborn Blvd, Mitchell, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003887688
Provider Name
GLEN D NYDAM O.D.
Gender
Male
Entity Type
Individual
Location Address
305 N Sanborn Blvd, Mitchell,
Location Phone
(605) 996-2537
Location Fax
(605) 996-0500
Mailing Address
305 N Sanborn Blvd, Mitchell, South Dakota(SD)
Mailing Phone
605-996-2537
Mailing Fax
605-996-0500
Enumeration Date
2006-01-31
Last Update Date
2022-11-10
Code Navigator

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
-
License No.
542
License State
South Dakota (SD)
Taxonomy Description
-

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
0006936 Other (non-Medicare) (01) South Dakota (SD) WELLMARK BCBS
20048 Other (non-Medicare) (01) South Dakota (SD) SANFORD HEALTH PLAN
230048 Other (non-Medicare) (01) South Dakota (SD) MIDLANDS CHOICE
9170527 Other (non-Medicare) (01) South Dakota (SD) DAKOTACARE
9203190 MEDICAID (05) South Dakota (SD)
9203192 MEDICAID (05) South Dakota (SD)

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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.
1003887688
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200316814616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 200316814616
2 + 0 + 0 + 3 + 1 + 6 + 8 + 1 + 4 + 6 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1003887688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1003887571 ROSCOE FAMILY CARE CENTER INC
ROSCOE FAMILY CARE CENTER,PC
Organization
Nurse Practitioner, Primary Care 206 W MERRILL AVE
ROSCOE, South Dakota (SD)
605-287-4900
1003887266 AVERA GETTYSBURG
AVERA MISSOURI RIVER HEALTH CENTER
Organization
General Acute Care Hospital, Critical Access 606 E GARFIELD AVE
GETTYSBURG, South Dakota (SD)
605-765-2480
1003886839 KAREN KAY ZEPP
Individual
Physician Assistant, Medical 717 MEADE ST
RAPID CITY, South Dakota (SD)
605-341-5910
1003886680 JAMES A ENGELBRECHT
Individual
Internal Medicine 640 FLORMANN ST
RAPID CITY, South Dakota (SD)
605-718-3300
1003886250 HOVEN MEDICAL CLINIC INC.
Organization
Clinic/Center, Rural Health PO BOX 787
HOVEN, South Dakota (SD)
605-948-2201