LAKESIDE VISION INC
NPI 1790789550
Optometrist in Prudenville, MI
NPI Status: Active since June 09, 2005
Contact Information
888 W HOUGHTON LAKE DR
PRUDENVILLE, MI
ZIP 48651
Phone: (989) 366-7525
Fax: (989) 366-5405
- Organization
- Optometrist
- Accepts Insurance
About LAKESIDE VISION INC
This page provides the complete NPI Profile along with additional information for Lakeside Vision Inc, a provider established in Prudenville, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1790789550 assigned on June 2005. The practitioner's primary taxonomy code is 152W00000X with license number MI2953 (MI). 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 Jennifer Boggs (Office Manager)
- NPI
- 1790789550
- Provider Name
- LAKESIDE VISION INC
- Entity Type
- Organization
- Location Address
- 888 W HOUGHTON LAKE DR PRUDENVILLE, MI 48651
- Location Phone
- (989) 366-7525
- Location Fax
- (989) 366-5405
- Mailing Address
- 888 W HOUGHTON LAKE DR P O BOX 20 PRUDENVILLE, MI 48651
- Mailing Phone
- (989) 366-7525
- Mailing Fax
- (989) 366-5405
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-09-2005
- Last Update Date
- 07-16-2008
- Code Navigator
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.
- MI2953
- 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:
- 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
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.
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 |
|---|---|---|---|
| 0159320001 | MEDICARE NSC (07) | MI | |
| 0G26503 | MEDICARE PIN (08) | MI | |
| 1562533 | MEDICAID (05) | MI | |
| CG6506 | MEDICARE PIN (08) | MI | |
| 900G21001 | OTHER (01) | MI | BLUE CROSS BLUE SHIELD |
Reviews for LAKESIDE VISION INC
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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 | 7 | 9 | 0 | 7 | 8 | 9 | 5 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 8 | 18 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 8 + 1 + 8 + 5 + 1 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790789550 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134123987 | LOUIS E BOGGS O.D. Individual | Optometrist | 888 W HOUGHTON LAKE DR PRUDENVILLE, MI 48651 (989) 366-7525 |
| 1932767191 | DR. KYLE SCOTT BATES OD Individual | Optometrist | 888 W HOUGHTON LAKE DR PRUDENVILLE, MI 48651 (989) 366-7525 |
| 1003557133 | LAKESIDE VISION, PRUDENVILLE, PC Organization | Optometrist | 888 W HOUGHTON LAKE DR PRUDENVILLE, MI 48651 (989) 366-7525 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790789550, enumerated in the NPI registry as an "organization" on June 09, 2005
The provider is located at 888 W Houghton Lake Dr Prudenville, Mi 48651 and the phone number is (989) 366-7525
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Medicare, 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 June 09, 2005. 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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