DRY EYE HEALING INSTITUTE
NPI 1124462452
Optometrist in West Bloomfield, MI

NPI Status: Active since April 17, 2013

Contact Information

5600 W MAPLE RD STE A120
WEST BLOOMFIELD, MI
ZIP 48322
Phone: (248) 413-8030

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  • Organization
  • Optometrist
  • Accepts Insurance
  • CLIA Number: 23D2243510
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-18-2025

About DRY EYE HEALING INSTITUTE

This page provides the complete NPI Profile along with additional information for Dry Eye Healing Institute, a provider established in West Bloomfield, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1124462452 assigned on April 2013. The practitioner's primary taxonomy code is 152W00000X with license number 4901004524 (MI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dry Eye Healing Institute. The authorized official of this NPI record is Dr. Jennifer Shaba Yalldo O.d. (Optometrist)

NPI
1124462452
Provider Legal Name
JENNIFER J. SHABA O.D. P.L.L.C
Other Organization Name
DRY EYE HEALING INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5600 W MAPLE RD STE A120 WEST BLOOMFIELD, MI 48322
Location Phone
(248) 413-8030
Mailing Address
5600 W MAPLE RD STE A120 WEST BLOOMFIELD, MI 48322
Mailing Phone
(248) 413-8030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2013
Last Update Date
10-18-2021
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
4901004524
License State
MI
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO

*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

DR. JENNIFER SHABA YALLDO O.D.

Authorized Official Title
OPTOMETRIST
Authorized Official Phone
(585) 994-4499

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2243510
Facility Type
Physician Office
Certificate Effective Date
November 19, 2023
Certificate Expiration Date
November 18, 2025
Laboratory Director
JENNIFER S. YALLDO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dry Eye Healing Institute to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DRY EYE HEALING INSTITUTE

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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.
1124462452
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144864410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 8 + 6 + 4 + 4 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1124462452 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508095464DR. JENNIFER JANE SHABA O.D.
Individual
Optometrist5600 W MAPLE RD STE A120
WEST BLOOMFIELD, MI 48322
(248) 847-3372

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124462452, enumerated in the NPI registry as an "organization" on April 17, 2013

The provider is located at 5600 W Maple Rd Ste A120 West Bloomfield, Mi 48322 and the phone number is (248) 413-8030

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Blue Care Network of Michigan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D2243510 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 17, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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