ADRIAN EYECARE AND OPTICAL
NPI 1477680015
Optometrist in Adrian, MI
NPI Status: Active since February 28, 2007
Contact Information
1136 COUNTRY CLUB RD
SUITE C
ADRIAN, MI
ZIP 49221
Phone: (517) 265-6055
Fax: (517) 265-6115
- Organization
- Optometrist
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About ADRIAN EYECARE AND OPTICAL
This page provides the complete NPI Profile along with additional information for Adrian Eyecare And Optical, a provider established in Adrian, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1477680015 assigned on February 2007. The practitioner's primary taxonomy code is 152W00000X with license number 4901002974 (MI). The provider is registered as an organization and their NPI record was last updated 12 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 Adrian Eyecare And Optical. The authorized official of this NPI record is Mrs. Constance Muck (Manager)
- NPI
- 1477680015
- Provider Legal Name
- PAUL W LANCZKI PC
- Other Organization Name
- ADRIAN EYECARE AND OPTICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1136 COUNTRY CLUB RD SUITE C ADRIAN, MI 49221
- Location Phone
- (517) 265-6055
- Location Fax
- (517) 265-6115
- Mailing Address
- 1136 COUNTRY CLUB RD SUITE C ADRIAN, MI 49221
- Mailing Phone
- (517) 265-6055
- Mailing Fax
- (517) 265-6115
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-28-2007
- Last Update Date
- 05-08-2013
- Code Navigator
Adrian Eyecare And Optical is a medicare supplier with PTAN 20587691 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 or Prosthetic Lenses: Conventional Contact Lenses.
Location Map
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.
- 4901002974
- 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.
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 | Eye and Vision Services Providers | Optometrist | 4901004286 (MI) |
Group Taxonomy 193400000X MULTIPLE 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
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
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.
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 |
|---|---|---|---|
| 4639178-86 | OTHER (01) | MI | MEDICAID DISPENSING |
| 5276880001 | MEDICARE NSC (07) | MI |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20587691
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
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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. | |||||||||
| 1 | 4 | 7 | 7 | 6 | 8 | 0 | 0 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 12 | 8 | 0 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 2 + 8 + 0 + 0 + 2 + 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 1477680015 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972681211 | JILL STOCKFORD PT Individual | Physical Therapist | 1136 COUNTRY CLUB RD SUITE A ADRIAN, MI 49221 (517) 264-6141 |
| 1487729471 | JOHN ANTHONY LARK DDS Individual | Dentist | 1136 COUNTRY CLUB RD SUITE B ADRIAN, MI 49221 (517) 263-9022 |
| 1033354378 | AMITBHAI K DAVE PT Individual | Physical Therapist | 1136 COUNTRY CLUB RD SUITE A ADRIAN, MI 49221 (517) 264-6141 |
| 1174754790 | NANCY RUPP PT Individual | Physical Therapist | 1136 COUNTRY CLUB RD SUITE A ADRIAN, MI 49221 (517) 264-6141 |
| 1356572754 | KELLY ROBY PT, DPT Individual | Physical Therapist | 1136 COUNTRY CLUB RD SUITE A ADRIAN, MI 49221 (517) 264-6141 |
| 1114380094 | JOHN A LARK DDS PC Organization | Dentist | 1136 COUNTRY CLUB RD SUITE B ADRIAN, MI 49221 (517) 263-9022 |
| 1982600722 | PAUL W LANCZKI OD Individual | Optometrist | 1136 COUNTRY CLUB RD UNIT C ADRIAN, MI 49221 (517) 265-6055 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477680015, enumerated in the NPI registry as an "organization" on February 28, 2007
The provider is located at 1136 Country Club Rd Suite C Adrian, Mi 49221 and the phone number is (517) 265-6055
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. 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 February 28, 2007. 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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