JOHN EVERD BROTHERS O.D.
NPI 1104899053
Optometrist in Champaign,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 10, 2006

Contact Information

1901 Kensington Knoll Dr
Champaign,
Post Code: 61822
Phone: (217) 359-4111
Fax: (217) 459-9870

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John Everd Brothers O.d. in Champaign - Optometrist

John Everd Brothers O.d. is a Optometrist in Champaign, . John Everd Brothers O.d. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for John Everd Brothers O.d. is 1104899053. The last update date is 2014-10-09.

John Everd Brothers O.d.'s current location address is 1901 Kensington Knoll Dr, Champaign, . You can contact this provider via phone number (217) 359-4111 and fax number (217) 459-9870. The mailing address for John Everd Brothers O.d. is 1901 Kensington Knoll Dr, Champaign, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104899053
Provider Name
JOHN EVERD BROTHERS O.D.
Gender
Male
Entity Type
Individual
Location Address
1901 Kensington Knoll Dr, Champaign,
Location Phone
(217) 359-4111
Location Fax
(217) 459-9870
Mailing Address
1104 N Vermilion St, Danville, Illinois(IL)
Mailing Phone
217-442-2631
Mailing Fax
217-442-0119
Enumeration Date
2006-02-10
Last Update Date
2014-10-09
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.
046-007703
License State
Illinois (IL)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 152WC0802X Corneal and Contact Management Optometrist

Optometrist, Corneal and Contact Management

046-007703 (Illinois)

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
16361 Other (non-Medicare) (01) Illinois (IL) Cole Managed Vision
216981 Other (non-Medicare) (01) Illinois (IL) Personal Care

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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.
1104899053
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416918010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416918010
2 + 1 + 0 + 4 + 1 + 6 + 9 + 1 + 8 + 0 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1104899053 is valid because the calculated check digit 3 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
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815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1083617070 NANCY ELLEN KLEIN
Individual
Dentist, General Practice 711 ORCHARD ST STE 1
DEERFIELD, Illinois (IL)
847-254-6244
1083617245 ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS
SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA
Organization
Psychiatric Unit 400 N PLEASANT AVE
CENTRALIA, Illinois (IL)
618-436-8000
1013910124 HOSPICE OF AMERICA, INC.
Organization
Hospice Care, Community Based 1N131 COUNTY FARM RD
WINFIELD, Illinois (IL)
630-682-3871