Organization provider

SMARTEYES OPTOMETRY

Exclusive Provider Organization Medicare enrolled

SMARTEYES OPTOMETRY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033358205, based in Arcadia, CA. It is classified under Exclusive Provider Organization.

Getting there

The practice address on file is 25 E HUNTINGTON DR SUITE #111, Arcadia, CA 91006. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

25 E HUNTINGTON DR SUITE #111, Arcadia, CA 91006 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
12911 CA Exclusive Provider Organization primary

This provider holds licence 12911 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6002964392

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Exclusive Provider Organization covers

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. NUCC Health Care Provider Taxonomy, code 302F00000X
Managed Care Organizations Exclusive Provider Organization

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1033358205 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 12, 2009
Last updatedFeb 12, 2009
StatusActive
Practice address 25 E HUNTINGTON DR
SUITE #111
Arcadia, CA 91006
(626) 393-8885
Fax (626) 821-5380
Mailing address 518 E LONGDEN AVE
Arcadia, CA 91006
Other identifiers SD0129110 (CA)
This record was last updated on Feb 12, 2009, roughly 17 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1033358205 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 3 3 3 5 8 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 6 3 6 5 7 2 0

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1033358205?
NPI 1033358205 is the National Provider Identifier assigned to SMARTEYES OPTOMETRY in Arcadia, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Exclusive Provider Organization cover?
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO…
How do I contact SMARTEYES OPTOMETRY?
The phone number on file with NPPES is (626) 393-8885, last updated Feb 12, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SMARTEYES OPTOMETRY accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1033358205 a valid number?
Yes. 1033358205 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.