PROFESSIONAL OPTICAL LLC
NPI 1790846533
Eyewear Supplier in Petoskey, MI
NPI Status: Active since December 13, 2006
Contact Information
560 W MITCHELL ST
SUITE#204
PETOSKEY, MI
ZIP 49770
Phone: (231) 487-0171
- Organization
- Eyewear Supplier
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About PROFESSIONAL OPTICAL LLC
This page provides the complete NPI Profile along with additional information for Professional Optical Llc, a provider established in Petoskey, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1790846533 assigned on December 2006. 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 authorized official of this NPI record is Mr. David Dziak (Member)
- NPI
- 1790846533
- Provider Name
- PROFESSIONAL OPTICAL LLC
- Entity Type
- Organization
- Location Address
- 560 W MITCHELL ST SUITE#204 PETOSKEY, MI 49770
- Location Phone
- (231) 487-0171
- Mailing Address
- 560 W MITCHELL ST SUITE#204 PETOSKEY, MI 49770
- Mailing Phone
- (231) 487-0171
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 07-17-2008
- Code Navigator
Professional Optical Llc is a medicare supplier with PTAN 20565725 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.
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
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:
- 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.
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 |
|---|---|---|---|
| 540B411030 | OTHER (01) | MI | MI BCBS |
| 5907810001 | MEDICARE NSC (07) | MI |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20565725
- Accepts Medicare Assignment
- YES
- Specialities List
- Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
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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 | 8 | 4 | 6 | 5 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 4 | 12 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 4 + 1 + 2 + 5 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1790846533 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437156940 | MELANIE S MANARY M.D. Individual | Internal Medicine | 560 W MITCHELL ST STE 300 PETOSKEY, MI 49770 (231) 487-2460 |
| 1114924610 | JOHN L DIEDRICH M.D. Individual | Internal Medicine | 560 W MITCHELL ST PETOSKEY, MI 49770 (231) 487-2460 |
| 1649277153 | TIMOTHY J ISMOND D.O. Individual | Internal Medicine | 560 W MITCHELL ST SUITE 300 PETOSKEY, MI 49770 (231) 487-2460 |
| 1932106234 | TERRY S JACKSON D.O. Individual | Internal Medicine | 560 W MITCHELL ST SUITE 300 PETOSKEY, MI 49770 (231) 487-2460 |
| 1881691095 | MAUREEN E DOULL M.D. Individual | Internal Medicine | 560 W MITCHELL ST PETOSKEY, MI 49770 (231) 487-2460 |
| 1760489959 | WILLIAM F HEISE II M.D. Individual | Internal Medicine | 560 W MITCHELL ST SUITE 300 PETOSKEY, MI 49770 (231) 487-2460 |
| 1932106135 | MICHELE STURT CFNP Individual | Nurse Practitioner (Family) | 560 W MITCHELL ST SUITE 300 PETOSKEY, MI 49770 (231) 487-2460 |
| 1306820378 | JON A SANGEORZAN M.D. Individual | Internal Medicine (Infectious Disease) | 560 W MITCHELL ST SUITE 170 PETOSKEY, MI 49770 (231) 487-3590 |
| 1073581450 | DR. VIRA C HEISE M.D. Individual | Internal Medicine | 560 W MITCHELL ST SUITE 300 PETOSKEY, MI 49770 (231) 487-2460 |
| 1467420901 | INTERNAL MEDICINE OF NORTHERN MICHIGAN PLLC Organization | Internal Medicine | 560 W MITCHELL ST SUITE 300 PETOSKEY, MI 49770 (231) 487-2460 |
| 1760450217 | DR. TIMOTHY R WILCOX MD Individual | Obstetrics & Gynecology | 560 W MITCHELL ST STE 210 PETOSKEY, MI 49770 (231) 487-2340 |
| 1407811938 | DAVID D LEDINGHAM M.D. Individual | Surgery | 560 W MITCHELL ST SUITE 140 PETOSKEY, MI 49770 (231) 487-1900 |
| 1710922661 | BAY VIEW DERMATOLOGY Organization | Dermatology | 560 W MITCHELL ST SUITE 510 PETOSKEY, MI 49770 (231) 487-6700 |
| 1427083914 | DR. KARA E COCKFIELD MD Individual | Obstetrics & Gynecology | 560 W MITCHELL ST STE 210 PETOSKEY, MI 49770 (213) 487-2340 |
| 1992726541 | DR. DONALD BRUCE ROTH M.D. Individual | Psychiatry & Neurology (Neurology) | 560 W MITCHELL ST SUITE 350 PETOSKEY, MI 49770 (231) 487-2220 |
| 1609897024 | MRS. COLLEEN M KEITH MACCCA Individual | Audiologist-Hearing Aid Fitter | 560 W MITCHELL ST SUITE 250 PETOSKEY, MI 49770 (231) 439-6844 |
| 1649291873 | MICHIGAN HEART & VASCULAR SPECIALISTS, PC Organization | Internal Medicine (Cardiovascular Disease) | 560 W MITCHELL ST SUITE 400 PETOSKEY, MI 49770 (231) 487-2490 |
| 1255354411 | DR. WILLIAM LLOYD MEENGS MD Individual | Internal Medicine (Cardiovascular Disease) | 560 W MITCHELL ST SUITE 400 PETOSKEY, MI 49770 (231) 487-2490 |
| 1205859477 | DR. HAROLD JAMES WILLENS MD Individual | Internal Medicine (Cardiovascular Disease) | 560 W MITCHELL ST SUITE 400 PETOSKEY, MI 49770 (231) 487-2490 |
| 1295749323 | DANIEL E MCDONNELL M.D. Individual | Internal Medicine (Pulmonary Disease) | 560 W MITCHELL ST SUITE 505 PETOSKEY, MI 49770 (231) 487-2100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790846533, enumerated in the NPI registry as an "organization" on December 13, 2006
The provider is located at 560 W Mitchell St Suite#204 Petoskey, Mi 49770 and the phone number is (231) 487-0171
This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, 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 December 13, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.