GARY J. MELLON ,O.D.,P.C.
NPI 1609045921
Eyewear Supplier in Boyne City, MI

NPI Status: Active since February 21, 2008

Contact Information

102 E MAIN ST
BOYNE CITY, MI
ZIP 49712
Phone: (231) 582-6704

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  • Organization
  • Eyewear Supplier

About GARY J. MELLON ,O.D.,P.C.

This page provides the complete NPI Profile along with additional information for Gary J. Mellon ,o.d.,p.c., a provider established in Boyne City, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1609045921 assigned on February 2008. 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 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. Gary J. Mellon O.d. (Owner)

NPI
1609045921
Provider Name
GARY J. MELLON ,O.D.,P.C.
Entity Type
Organization
Location Address
102 E MAIN ST BOYNE CITY, MI 49712
Location Phone
(231) 582-6704
Mailing Address
102 E MAIN ST BOYNE CITY, MI 49712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-21-2008
Last Update Date
02-26-2008
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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.

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)
1152W00000XEye and Vision Services Providers

Optometrist

 

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:

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

DR. GARY J. MELLON O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(231) 582-6704

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
7000020361OTHER (01)MIPRIORITY HEALTH
0913350001MEDICARE NSC (07) 

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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.
1609045921
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609041094
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 4 + 1 + 0 + 9 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1609045921 is valid because the calculated check digit 1 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
1861472268DR. GARY J. MELLON OD
Individual
Optometrist102 E MAIN ST
BOYNE CITY, MI 49712
(231) 582-6704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609045921, enumerated in the NPI registry as an "organization" on February 21, 2008

The provider is located at 102 E Main St Boyne City, Mi 49712 and the phone number is (231) 582-6704

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

The provider might be accepting Accepts: Medicare and Medicaid. 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 21, 2008. 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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