ANDERSEN EYE PROSTHETICS, LLC
NPI 1235510892
Technician/Technologist - Ocularist in Detroit, MI

NPI Status: Active since June 09, 2015

Contact Information

4719 SAINT ANTOINE ST
DETROIT, MI
ZIP 48201
Phone: (989) 249-1030

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  • Organization
  • Technician/Technologist
  • Ocularist

About ANDERSEN EYE PROSTHETICS, LLC

This page provides the complete NPI Profile along with additional information for Andersen Eye Prosthetics, Llc, a provider established in Detroit, Michigan operating as a Technician/technologist, focusing in ocularist . The healthcare provider is registered in the NPI registry with number 1235510892 assigned on June 2015. The practitioner's primary taxonomy code is 156FX1700X. The provider is registered as an organization and their NPI record was last updated 9 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 authorized official of this NPI record is Dr. Gregory Carmen Hazen M.d. (Medical Director)

NPI
1235510892
Provider Name
ANDERSEN EYE PROSTHETICS, LLC
Entity Type
Organization
Location Address
4719 SAINT ANTOINE ST DETROIT, MI 48201
Location Phone
(989) 249-1030
Mailing Address
PO BOX 5649 SAGINAW, MI 48603
Mailing Phone
(989) 249-1030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-09-2015
Last Update Date
02-24-2016
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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

Technician/Technologist Ocularist

Taxonomy Code
156FX1700X
Type
Eye and Vision Services Providers
Taxonomy Description
An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.

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.

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. GREGORY CARMEN HAZEN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(989) 249-1030

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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.
1235510892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651010818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 0 + 1 + 0 + 8 + 1 + 8 + 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 1235510892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235510892, enumerated in the NPI registry as an "organization" on June 09, 2015

The provider is located at 4719 Saint Antoine St Detroit, Mi 48201 and the phone number is (989) 249-1030

This medical organization specializes in Technician/Technologist with taxonomy code 156FX1700X with a focus in Ocularist

This NPI record was last updated on June 09, 2015. 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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