THREE RIVERS EYE CARE
NPI 1124653209
Eyewear Supplier in Grand Rapids, MI
NPI Status: Active since March 09, 2020
Contact Information
750 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 942-1350
- Organization
- Eyewear Supplier
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 23D1041799
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 06-12-2027
About THREE RIVERS EYE CARE
This page provides the complete NPI Profile along with additional information for Three Rivers Eye Care, a provider established in Grand Rapids, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1124653209 assigned on March 2020. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Three Rivers Eye Care. The authorized official of this NPI record is Kelly Therrien (Optical Billing Systems Manager)
- NPI
- 1124653209
- Provider Legal Name
- GRO OPTICAL, LLC
- Other Organization Name
- THREE RIVERS EYE CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 750 E BELTLINE AVE NE GRAND RAPIDS, MI 49525
- Location Phone
- (616) 942-1350
- Mailing Address
- 4020 E BELTLINE AVE NE STE 201 GRAND RAPIDS, MI 49525
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2020
- Last Update Date
- 02-15-2021
- Code Navigator
Three Rivers Eye Care is a medicare supplier with PTAN 20660351 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.
Location Map
Secondary Locations
- 3300 Walker Vw NW
Walker, MI 49544
(616) 776-7979 - 6050 Northland Dr NE Ste 100
Rockford, MI 49341
(616) 588-6582 - 2117 E Grand River Ave
Lansing, MI 48912
(517) 485-2213 - 537 W Main St
Ionia, MI 48846
(616) 523-2020 - 717 Bagley Ave SE
Grand Rapids, MI 49506
(616) 588-6575 - 3235 N Wellness Dr Ste 130
Holland, MI 49424
(616) 994-9586 - 56847 N Main St
Three Rivers, MI 49093
(269) 273-2020 - 4475 Wilson Ave SW
Grandville, MI 49418
(616) 249-0100 - 511 Wilson Ave NW Ste E
Grand Rapids, MI 49534
(616) 301-8663 - 10047 Crossroad Ct SE
Caledonia, MI 49316
(616) 588-6556 - 350 Marshall St
Coldwater, MI 49036
(517) 278-6303 - 310 W Lake Lansing Rd
East Lansing, MI 48823
(517) 337-8182 - 80 68th St SE
Grand Rapids, MI 49548
(616) 827-0003 - 112 S Clay St
Greenville, MI 48838
(616) 754-5667
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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20660351
- Accepts Medicare Assignment
- YES
- Specialities List
- Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 23D1041799
- Facility Type
- Ambulance
- Certificate Effective Date
- June 13, 2025
- Certificate Expiration Date
- June 12, 2027
- Laboratory Director
- PAUL SCHOON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Three Rivers Eye Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1124653209, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124653209, enumerated as an "organization" on March 09, 2020.
The provider is located at 750 E BELTLINE AVE NE GRAND RAPIDS, MI 49525 and the phone number is (616) 942-1350.
Eyewear Supplier with taxonomy code 332H00000X.
