CHAD ELDON WILLIS O.D.
NPI 1114907185
Optometrist in Hurlburt Field,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 18, 2006

Contact Information

113 Lielmanis Ave
Hurlburt Field,
Post Code: 32544
Phone: (850) 881-3918
Fax: -

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Chad Eldon Willis O.d. in Hurlburt Field - Optometrist

Chad Eldon Willis O.d. is a Optometrist in Hurlburt Field, . Chad Eldon Willis O.d. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Chad Eldon Willis O.d. is 1114907185. The last update date is 2018-04-06.

Chad Eldon Willis O.d.'s current location address is 113 Lielmanis Ave, Hurlburt Field, . You can contact this provider via phone number (850) 881-3918 and fax number -. The mailing address for Chad Eldon Willis O.d. is 113 Lielmanis Ave, Hurlburt Field, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1114907185
Provider Name
CHAD ELDON WILLIS O.D.
Gender
Male
Entity Type
Individual
Location Address
113 Lielmanis Ave, Hurlburt Field,
Location Phone
(850) 881-3918
Location Fax
-
Mailing Address
113 Lielmanis Ave, Hurlburt Field, Florida(FL)
Mailing Phone
850-881-3918
Mailing Fax
-
Enumeration Date
2006-01-18
Last Update Date
2018-04-06
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.
3023
License State
Colorado (CO)
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 152W00000X Optometrist

Optometrist

02329 (Iowa)

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
00864 Other (non-Medicare) (01) Iowa (IA) Welllmark BCBS
0470674 MEDICAID (05) Iowa (IA)

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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.
1114907185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
212418014116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 212418014116
2 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 4 + 1 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1114907185 is valid because the calculated check digit 5 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
1003819038 LESTER GOLDBERG
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954-987-2000
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407-324-5500
1104829399 JAY R PATTERSON
Individual
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JACKSONVILLE, Florida (FL)
904-633-2021
1063415248 JORDAN DITCHEK
Individual
Radiology, Body Imaging 3501 JOHNSON ST
HOLLYWOOD, Florida (FL)
954-987-2000
1043213051 MARK S GOROVOY
Individual
Ophthalmology 12381 S CLEVELAND AVE STE 300
FORT MYERS, Florida (FL)
239-939-1444