SHORELINE OPTICAL, LLC
NPI 1184781676
Eyewear Supplier in Grand Haven, MI
NPI Status: Active since January 03, 2007
Contact Information
1445 SHELDON RD
SUITE 100
GRAND HAVEN, MI
ZIP 49417
Phone: (231) 739-9009
Fax: (616) 842-8269
- Organization
- Eyewear Supplier
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 23D0379293
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About SHORELINE OPTICAL, LLC
This page provides the complete NPI Profile along with additional information for Shoreline Optical, Llc, a provider established in Grand Haven, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1184781676 assigned on January 2007. 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 organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Andrea Lynn Patrick (Account Manager)
- NPI
- 1184781676
- Provider Name
- SHORELINE OPTICAL, LLC
- Entity Type
- Organization
- Location Address
- 1445 SHELDON RD SUITE 100 GRAND HAVEN, MI 49417
- Location Phone
- (231) 739-9009
- Location Fax
- (616) 842-8269
- Mailing Address
- 1266 E SHERMAN BLVD MUSKEGON, MI 49444
- Mailing Phone
- (231) 739-9009
- Mailing Fax
- (616) 842-8269
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-03-2007
- Last Update Date
- 05-22-2024
- Code Navigator
Shoreline Optical, Llc is a medicare supplier with PTAN 20515001 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
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 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Corewell Health West Michigan Network - HMO
- MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - 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
- 20515001
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- 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
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
- 23D0379293
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- CAITLYN GUGINS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shoreline Optical, Llc 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.
Reviews for SHORELINE OPTICAL, LLC
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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 1184781676, 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 20 providers are registered at the same or a nearby location.
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
GRAND HAVEN, MI 49417
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184781676, enumerated as an "organization" on January 03, 2007.
The provider is located at 1445 SHELDON RD SUITE 100 GRAND HAVEN, MI 49417 and the phone number is (231) 739-9009.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.
