PEDIATRIC OPHTHALMOLOGY PC
NPI 1225278880
Optometrist - Pediatrics in Grand Rapids, MI
NPI Status: Active since February 23, 2009
Contact Information
5050 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 957-0866
Fax: (616) 957-4102
- Organization
- Optometrist
- Pediatrics
- Accepts Insurance
About PEDIATRIC OPHTHALMOLOGY PC
This page provides the complete NPI Profile along with additional information for Pediatric Ophthalmology Pc, a provider established in Grand Rapids, Michigan operating as a Optometrist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1225278880 assigned on February 2009. The practitioner's primary taxonomy code is 152WP0200X with license number 003979 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Pediatric Ophthalmology Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Deborah M Droste Rn Bsn (Administrator)
- NPI
- 1225278880
- Provider Name
- PEDIATRIC OPHTHALMOLOGY PC
- Entity Type
- Organization
- Location Address
- 5050 CASCADE RD SE GRAND RAPIDS, MI 49546
- Location Phone
- (616) 957-0866
- Location Fax
- (616) 957-4102
- Mailing Address
- 5050 CASCADE RD SE GRAND RAPIDS, MI 49546
- Mailing Phone
- (616) 957-0866
- Mailing Fax
- (616) 957-4102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2009
- Last Update Date
- 09-11-2025
- Code Navigator
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
Optometrist Pediatrics
- Taxonomy Code
- 152WP0200X
- Type
- Eye and Vision Services Providers
- License No.
- 003979
- License State
- MI
- Taxonomy Description
- Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
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.
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 |
|---|---|---|---|
| 2636622 | MEDICAID (05) | MI |
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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 1225278880, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GRAND RAPIDS, MI 49546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225278880, enumerated as an "organization" on February 23, 2009.
The provider is located at 5050 CASCADE RD SE GRAND RAPIDS, MI 49546 and the phone number is (616) 957-0866.
Optometrist with taxonomy code 152WP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Blue Care Network of Michigan, Medicare and. Please consult your insurance carrier or call the provider to verify.
