TARGET OPTICAL #C4051
NPI 1700102514
Eyewear Supplier in Forest Lake, MN

NPI Status: Active since April 19, 2010

Contact Information

356 12TH ST SW
FOREST LAKE, MN
ZIP 55025
Phone: (651) 464-1955

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  • Organization
  • Eyewear Supplier

About TARGET OPTICAL #C4051

This page provides the complete NPI Profile along with additional information for Target Optical #c4051, a provider established in Forest Lake, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1700102514 assigned on April 2010. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Target Optical #c4051. The authorized official of this NPI record is Wendy Uhls (Medicare Administrator)

NPI
1700102514
Provider Legal Name
COLE VISION CORPORATION
Other Organization Name
TARGET OPTICAL #C4051
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
356 12TH ST SW FOREST LAKE, MN 55025
Location Phone
(651) 464-1955
Mailing Address
4000 LUXOTTICA PL ATTN MEDICARE DEPT MASON, OH 45040
Mailing Phone
(651) 464-1955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2010
Last Update Date
04-19-2010
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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:

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

WENDY UHLS

Authorized Official Title
MEDICARE ADMINISTRATOR
Authorized Official Phone
(513) 765-3534

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
0507951372MEDICARE NSC (07)MN 

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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.
1700102514
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270020452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 2 + 0 + 4 + 5 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1700102514 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669535308DR. SEAN PHILIP BELL O.D.
Individual
Optometrist356 12TH ST SW
FOREST LAKE, MN 55025
(651) 464-1955
1982735668 KARI LYNN ELIASON O.D.
Individual
Optometrist356 12TH ST SW
FOREST LAKE, MN 55025
(651) 464-1955
1558643130MR. KENNETH RICHARD KRAMER RPH
Individual
Pharmacist356 12TH ST SW
FOREST LAKE, MN 55025
(651) 464-1994
1801178348DR. HELEN M MAGNUSON PHARM.D.
Individual
Pharmacist356 12TH ST SW T1244
FOREST LAKE, MN 55025
(651) 464-1994
1942642715 HEATHER DEKAN PHARMD
Individual
Pharmacist356 12TH ST SW
FOREST LAKE, MN 55025
(651) 464-1994
1780606475GRAND ST PAUL CVS LLC
Organization
Pharmacy356 12TH ST SW
FOREST LAKE, MN 55025
(651) 464-1994
1669522207LUXOTTICA OF AMERICA INC.
Organization
Eyewear Supplier356 12TH ST SW
FOREST LAKE, MN 55025
(651) 464-1955
1003591579 NATHAN RIEDEMAN PHARMD
Individual
Pharmacist356 12TH ST SW
FOREST LAKE, MN 55025
(651) 464-1994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700102514, enumerated in the NPI registry as an "organization" on April 19, 2010

The provider is located at 356 12th St Sw Forest Lake, Mn 55025 and the phone number is (651) 464-1955

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 April 19, 2010. 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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