SHORELINE OPTICAL, LLC
NPI 1972808921
Eyewear Supplier in Spring Lake, MI

NPI Status: Active since January 24, 2011

Contact Information

625 E SAVIDGE ST
SPRING LAKE, MI
ZIP 49456
Phone: (231) 739-9009

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  • Organization
  • Eyewear Supplier

About SHORELINE OPTICAL, LLC

This page provides the complete NPI Profile along with additional information for Shoreline Optical, Llc, a provider established in Spring Lake, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1972808921 assigned on January 2011. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Shoreline Ophthalmology Pc. The authorized official of this NPI record is Andrea Lynn Patrick (Account Manager)

NPI
1972808921
Provider Legal Name
SHORELINE OPTICAL, LLC
Other Organization Name
SHORELINE OPHTHALMOLOGY PC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
625 E SAVIDGE ST SPRING LAKE, MI 49456
Location Phone
(231) 739-9009
Mailing Address
1266 E SHERMAN BLVD MUSKEGON, MI 49444
Mailing Phone
(616) 846-2280
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2011
Last Update Date
05-22-2024
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Location Map

Secondary Locations

  • 1266 E Sherman Blvd
    Muskegon, MI 49444
    (231) 739-9009

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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

 

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.

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

ANDREA LYNN PATRICK

Authorized Official Title
ACCOUNT MANAGER
Authorized Official Phone
(616) 588-6593

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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.
1972808921
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421601694
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 6 + 0 + 1 + 6 + 9 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1972808921 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699079160SHORELINE OPHTHALMOLOGY PLLC
Organization
Optometrist625 E SAVIDGE ST
SPRING LAKE, MI 49456
(616) 846-2280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972808921, enumerated in the NPI registry as an "organization" on January 24, 2011

The provider is located at 625 E Savidge St Spring Lake, Mi 49456 and the phone number is (231) 739-9009

This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X

This NPI record was last updated on January 24, 2011. 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.