NORTHWEST EYEWEAR
NPI 1043392632
Eyewear Supplier in Maple Grove, MN
NPI Status: Active since October 20, 2006
Contact Information
12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 416-7653
Fax: (763) 416-7634
- Organization
- Eyewear Supplier
- Medicare Supplier
- Accepts Medicare Approved Payment
About NORTHWEST EYEWEAR
This page provides the complete NPI Profile along with additional information for Northwest Eyewear, a provider established in Maple Grove, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1043392632 assigned on October 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Northwest Eyewear. The authorized official of this NPI record is Kelly Pettengill (Credentialing And Data Management)
- NPI
- 1043392632
- Provider Legal Name
- DISTINCTIVE EYEWEAR, LLC
- Other Organization Name
- NORTHWEST EYEWEAR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12000 ELM CREEK BLVD N STE 100 MAPLE GROVE, MN 55369
- Location Phone
- (763) 416-7653
- Location Fax
- (763) 416-7634
- Mailing Address
- 8401 GOLDEN VALLEY RD STE 330 GOLDEN VALLEY, MN 55427
- Mailing Phone
- (763) 416-7629
- Mailing Fax
- (763) 416-7634
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2006
- Last Update Date
- 03-18-2020
- Code Navigator
Northwest Eyewear is a medicare supplier with PTAN 20546477 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: Ocular Prostheses or 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
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) |
|---|---|---|---|---|
| 1 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist |
Group Taxonomy 193400000X MULTIPLE 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20546477
- Accepts Medicare Assignment
- YES
- Specialities List
- Optician.
- Competitive Bidding
- NO
Supplies List
- Ocular Prostheses - Prosthetic eyes
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
- Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses
Reviews for NORTHWEST EYEWEAR
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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 1043392632, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 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.
MAPLE GROVE, MN 55369
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043392632, enumerated as an "organization" on October 20, 2006.
The provider is located at 12000 ELM CREEK BLVD N STE 100 MAPLE GROVE, MN 55369 and the phone number is (763) 416-7653.
Eyewear Supplier with taxonomy code 332H00000X.
