SANFORD HEALTH DETROIT LAKES EYE CENTER & OPTICAL
NPI 1124184403
Eyewear Supplier in Detroit Lakes, MN

NPI Status: Active since December 29, 2006

Contact Information

1234 WASHINGTON AVE STE A
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 846-2000
Fax: (701) 234-2045

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  • Organization
  • Eyewear Supplier
  • Accepts Insurance

About SANFORD HEALTH DETROIT LAKES EYE CENTER & OPTICAL

This page provides the complete NPI Profile along with additional information for Sanford Health Detroit Lakes Eye Center & Optical, a provider established in Detroit Lakes, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1124184403 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 2 years ago. The provider's is doing business as Sanford Health Detroit Lakes Eye Center & Optical. The authorized official of this NPI record is Tony Lee Morrison (Vp, Finance)

NPI
1124184403
Provider Legal Name
SANFORD MEDICAL CENTER FARGO
Other Organization Name
SANFORD HEALTH DETROIT LAKES EYE CENTER & OPTICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1234 WASHINGTON AVE STE A DETROIT LAKES, MN 56501
Location Phone
(218) 846-2000
Location Fax
(701) 234-2045
Mailing Address
PO BOX 2168 FARGO, ND 58107
Mailing Phone
(701) 234-2119
Mailing Fax
(701) 234-2045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2006
Last Update Date
08-02-2024
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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:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Enrich $2,000 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,000 - 50% - HMO
  • Enrich $5,000 HDHP - HMO
  • Enrich $6,000 - 40% - HMO
  • Enrich $7,500 - HMO
  • Enrich $7,500 HDHP - HMO
  • Enrich $9,500 - HMO
  • Enrich Protection - HMO
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Select $2,000 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,000 - 50% - EPO
  • Select $5,000 HDHP - 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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

TONY LEE MORRISON

Authorized Official Title
VP, FINANCE
Authorized Official Phone
(605) 328-8380

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
801770OTHER (01)NDBC
4C334BEOTHER (01)MNBC

Reviews for SANFORD HEALTH DETROIT LAKES EYE CENTER & OPTICAL

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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 1124184403, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 1 → 2 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 8 + 8 + 4 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1124184403.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
1234 WASHINGTON AVE STE A
DETROIT LAKES, MN 56501
Optometrist
1234 WASHINGTON AVE STE A
DETROIT LAKES, MN 56501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124184403, enumerated as an "organization" on December 29, 2006.

The provider is located at 1234 WASHINGTON AVE STE A DETROIT LAKES, MN 56501 and the phone number is (218) 846-2000.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medica, Security Health Plan, Medicare and. Please consult your insurance carrier or call the provider to verify.