OPTICAL STUDIOS
NPI 1306042817
Eyewear Supplier in Blaine, MN
NPI Status: Active since June 22, 2007
Contact Information
11855 ULYSSES ST
SUITE 140
BLAINE, MN
ZIP 55434
Phone: (763) 421-7420
Fax: (763) 421-0730
- Organization
- Eyewear Supplier
- Accepts Insurance
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 24D2120523
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-17-2026
About OPTICAL STUDIOS
This page provides the complete NPI Profile along with additional information for Optical Studios, a provider established in Blaine, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1306042817 assigned on June 2007. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Optical Studios. The authorized official of this NPI record is Mark C Lobanoff Md (Md/owner)
- NPI
- 1306042817
- Provider Legal Name
- NORTH SUBURBAN OPTICAL
- Other Organization Name
- OPTICAL STUDIOS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11855 ULYSSES ST SUITE 140 BLAINE, MN 55434
- Location Phone
- (763) 421-7420
- Location Fax
- (763) 421-0730
- Mailing Address
- 3777 COON RAPIDS BLVD NW # 100 COON RAPIDS, MN 55433
- Mailing Phone
- (763) 421-8524
- Mailing Fax
- (763) 421-0730
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2007
- Last Update Date
- 12-03-2018
- Code Navigator
Optical Studios is a medicare supplier with PTAN 20451629 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact 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.
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
*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
- 20451629
- Accepts Medicare Assignment
- NO
- Specialities List
- Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
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
- 24D2120523
- Facility Type
- Physician Office
- Certificate Effective Date
- October 18, 2024
- Certificate Expiration Date
- October 17, 2026
- Laboratory Director
- PAUL C. HAMMOND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Optical Studios 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 1306042817, 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.
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BLAINE, MN 55434
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306042817, enumerated as an "organization" on June 22, 2007.
The provider is located at 11855 ULYSSES ST SUITE 140 BLAINE, MN 55434 and the phone number is (763) 421-7420.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
