RX OPTICAL LABORATORIES, INC.
NPI 1790106136
Optometrist in Grand Rapids, MI

NPI Status: Active since January 03, 2014

Contact Information

1844 BRETON RD SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 957-2993
Fax: (616) 957-9253

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  • Organization
  • Optometrist

About RX OPTICAL LABORATORIES, INC.

This page provides the complete NPI Profile along with additional information for Rx Optical Laboratories, Inc., a provider established in Grand Rapids, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1790106136 assigned on January 2014. The practitioner's primary taxonomy code is 152W00000X with license number 4901003762 (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 authorized official of this NPI record is Steven W Yonke (Cfo)

NPI
1790106136
Provider Name
RX OPTICAL LABORATORIES, INC.
Entity Type
Organization
Location Address
1844 BRETON RD SE GRAND RAPIDS, MI 49506
Location Phone
(616) 957-2993
Location Fax
(616) 957-9253
Mailing Address
1700 S PARK ST KALAMAZOO, MI 49001
Mailing Phone
(269) 342-0003
Mailing Fax
(616) 957-9253
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2014
Last Update Date
01-03-2014
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
4901003762
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.

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

STEVEN W YONKE

Authorized Official Title
CFO
Authorized Official Phone
(269) 342-0003

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
0C97655MEDICARE PIN (08)MI 

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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.
1790106136
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180201216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 2 + 0 + 1 + 2 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1790106136 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 1790106136, enumerated in the NPI registry as an "organization" on January 03, 2014

The provider is located at 1844 Breton Rd Se Grand Rapids, Mi 49506 and the phone number is (616) 957-2993

This medical organization specializes in Optometrist with taxonomy code 152W00000X

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 January 03, 2014. 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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