GREAT RIVER EYE CLINIC
NPI 1023424926
Clinic/Center - Health Service in Crosby, MN
NPI Status: Active since July 11, 2014
Contact Information
1 3RD AVE NE
CROSBY, MN
ZIP 56441
Phone: (218) 546-5108
Fax: (218) 546-5736
- Organization
- Clinic/Center
- Health Service
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About GREAT RIVER EYE CLINIC
This page provides the complete NPI Profile along with additional information for Great River Eye Clinic, a provider established in Crosby, Minnesota operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1023424926 assigned on July 2014. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Great River Eye Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Great River Eye Clinic. The authorized official of this NPI record is Dr. Stacy Ann Sjoberg M.d., Ph.d (Owner)
- NPI
- 1023424926
- Provider Legal Name
- S SJOBERG PLC
- Other Organization Name
- GREAT RIVER EYE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1 3RD AVE NE CROSBY, MN 56441
- Location Phone
- (218) 546-5108
- Location Fax
- (218) 546-5736
- Mailing Address
- 1 3RD AVE NE CROSBY, MN 56441
- Mailing Phone
- (218) 546-5108
- Mailing Fax
- (218) 546-5736
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2014
- Last Update Date
- 08-23-2021
- Code Navigator
Great River Eye Clinic is a medicare supplier with PTAN 20487281 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 or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.
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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
- License State
- MN
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) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 2 | 152WC0802X | Eye and Vision Services Providers | Optometrist | |
| 3 | 152WL0500X | Eye and Vision Services Providers | Optometrist | |
| 4 | 152WP0200X | Eye and Vision Services Providers | Optometrist | |
| 5 | 152WS0006X | Eye and Vision Services Providers | Optometrist | |
| 6 | 152WV0400X | Eye and Vision Services Providers | Optometrist | |
| 7 | 152WX0102X | Eye and Vision Services Providers | Optometrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Essentia Choice Care with Medica Bronze $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Bronze Share - HMO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - HMO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Share - HMO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Gold Standard - HMO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - HMO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Share - HMO
- Essentia Choice Care with Medica Silver Standard - EPO
- Essentia Choice Care with Medica Silver Standard - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20487281
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist, Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
Reviews for GREAT RIVER EYE CLINIC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023424926, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023424926, enumerated as an "organization" on July 11, 2014.
The provider is located at 1 3RD AVE NE CROSBY, MN 56441 and the phone number is (218) 546-5108.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
