PELICAN RIVER OPTICAL
NPI 1891965562
Eyewear Supplier in Detroit Lakes, MN
NPI Status: Active since March 09, 2008
Contact Information
1131 JACKSON AVE
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 847-5663
Fax: (218) 847-0964
- Organization
- Eyewear Supplier
About PELICAN RIVER OPTICAL
This page provides the complete NPI Profile along with additional information for Pelican River Optical, a provider established in Detroit Lakes, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1891965562 assigned on March 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 provider's is doing business as Pelican River Optical. The authorized official of this NPI record is Mr. Bruce Donald Nelson (Optician/owner)
- NPI
- 1891965562
- Provider Legal Name
- BRUCE D NELSON
- Other Organization Name
- PELICAN RIVER OPTICAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1131 JACKSON AVE DETROIT LAKES, MN 56501
- Location Phone
- (218) 847-5663
- Location Fax
- (218) 847-0964
- Mailing Address
- 1131 JACKSON AVE DETROIT LAKES, MN 56501
- Mailing Phone
- (218) 847-5663
- Mailing Fax
- (218) 847-0964
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2008
- 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
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.
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 |
|---|---|---|---|
| 0181390001 | MEDICARE 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. | |||||||||
| 1 | 8 | 9 | 1 | 9 | 6 | 5 | 5 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 18 | 1 | 18 | 6 | 10 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 8 + 1 + 1 + 8 + 6 + 1 + 0 + 5 + 1 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1891965562 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538544317 | WYNDGATE HEALTH PLLC Organization | Psychiatry & Neurology (Psychiatry) | 1131 JACKSON AVE DETROIT LAKES, MN 56501 (320) 220-0546 |
| 1689759383 | DR. JENNIFER ELYSE PEDERSEN DC Individual | Chiropractor | 1131 JACKSON AVE DETROIT LAKES, MN 56501 (218) 844-5050 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891965562, enumerated in the NPI registry as an "organization" on March 09, 2008
The provider is located at 1131 Jackson Ave Detroit Lakes, Mn 56501 and the phone number is (218) 847-5663
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 March 09, 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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