FOND DU LAC REGIONAL OPTICAL
NPI 1154595387
Eyewear Supplier in Fond Du Lac, WI

NPI Status: Active since April 18, 2008

Contact Information

421 CAMELOT DR
FOND DU LAC, WI
ZIP 54935
Phone: (920) 926-8316

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  • Organization
  • Eyewear Supplier

About FOND DU LAC REGIONAL OPTICAL

This page provides the complete NPI Profile along with additional information for Fond Du Lac Regional Optical, a provider established in Fond Du Lac, Wisconsin operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1154595387 assigned on April 2008. 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 Fond Du Lac Regional Optical. The authorized official of this NPI record is Amy Jo Grinnell (Vp Finance)

NPI
1154595387
Provider Legal Name
AGNESIAN HEALTHCARE INC
Other Organization Name
FOND DU LAC REGIONAL OPTICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
421 CAMELOT DR FOND DU LAC, WI 54935
Location Phone
(920) 926-8316
Mailing Address
421 CAMELOT DR FOND DU LAC, WI 54935
Mailing Phone
(920) 926-8316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2008
Last Update Date
06-05-2024
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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:

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

AMY JO GRINNELL

Authorized Official Title
VP FINANCE
Authorized Official Phone
(608) 260-3586

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
38437100MEDICAID (05)WI 

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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 1154595387, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 1 + 0 + 9 + 1 + 0 + 3 + 1 + 6 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1154595387.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
421 CAMELOT DR
FOND DU LAC, WI 54935
Specialist/Technologist (Athletic Trainer)
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapy Assistant
421 CAMELOT DR
FOND DU LAC, WI 54935
Podiatrist (Foot & Ankle Surgery)
421 CAMELOT DR
FOND DU LAC, WI 54935
Specialist/Technologist (Athletic Trainer)
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapy Assistant
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935
421 CAMELOT DR
FOND DU LAC, WI 54935
421 CAMELOT DR
FOND DU LAC, WI 54935
Physical Therapist
421 CAMELOT DR
FOND DU LAC, WI 54935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154595387, enumerated as an "organization" on April 18, 2008.

The provider is located at 421 CAMELOT DR FOND DU LAC, WI 54935 and the phone number is (920) 926-8316.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.