BAY OPTICAL LABORATORY CORP.
NPI 1407898026
Eyewear Supplier in North Bend, OR

NPI Status: Active since June 11, 2006

Contact Information

3587 BROADWAY ST
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-2571
Fax: (541) 756-3976

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  • Organization
  • Eyewear Supplier
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About BAY OPTICAL LABORATORY CORP.

This page provides the complete NPI Profile along with additional information for Bay Optical Laboratory Corp., a provider established in North Bend, Oregon operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1407898026 assigned on June 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Lily M. Van Elsberg (Assistant Manager/bookkeeper)

NPI
1407898026
Provider Name
BAY OPTICAL LABORATORY CORP.
Entity Type
Organization
Location Address
3587 BROADWAY ST NORTH BEND, OR 97459
Location Phone
(541) 756-2571
Location Fax
(541) 756-3976
Mailing Address
3587 BROADWAY ST NORTH BEND, OR 97459
Mailing Phone
(541) 756-2571
Mailing Fax
(541) 756-3976
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2006
Last Update Date
07-16-2008
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Bay Optical Laboratory Corp. is a medicare supplier with PTAN 20621255 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.

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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

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

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

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

LILY M. VAN ELSBERG

Authorized Official Title
ASSISTANT MANAGER/BOOKKEEPER
Authorized Official Phone
(541) 756-2571

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
012641MEDICAID (05)OR 
0009759000OTHER (01)ORPROVIDER NUMBER
0376430001MEDICARE NSC (07)OR 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20621255
Accepts Medicare Assignment
YES
Specialities List
Optician.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses

Reviews for BAY OPTICAL LABORATORY CORP.

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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.
1407898026
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24071691604
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 6 + 9 + 1 + 6 + 0 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1407898026 is valid because the calculated check digit 6 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 1407898026, enumerated in the NPI registry as an "organization" on June 11, 2006

The provider is located at 3587 Broadway St North Bend, Or 97459 and the phone number is (541) 756-2571

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 11, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.