ERIC J. SIESEL, O.D.P.C.
NPI 1407044688
Optometrist in Sault Sainte Marie, MI

NPI Status: Active since October 12, 2007

Contact Information

3265 S. M-129
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 635-9347

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  • Organization
  • Optometrist

About ERIC J. SIESEL, O.D.P.C.

Eric J. Siesel, O.d.p.c. is a provider established in Sault Sainte Marie, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1407044688 assigned on October 2007. The practitioner's primary taxonomy code is 152W00000X with license number 4901003938 (MI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Eric Siesel (President)

NPI
1407044688
Provider Name
ERIC J. SIESEL, O.D.P.C.
Entity Type
Organization
Location Address
3265 S. M-129 SAULT SAINTE MARIE, MI 49783
Location Phone
(906) 635-9347
Mailing Address
3265 S. M-129 SAULT SAINTE MARIE, MI 49783
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-12-2007
Last Update Date
02-28-2012
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
4901003938
License State
MI
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

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:

  • Blue Cross Blue Shield of Michigan Mutual Insurance Company

    • Blue Cross® Premier PPO Bronze Extra - PPO
    • Blue Cross® Premier PPO Bronze HSA - PPO
    • Blue Cross® Premier PPO Bronze Secure - PPO
    • Blue Cross® Premier PPO Gold - PPO
    • Blue Cross® Premier PPO Gold Extra - PPO
    • Blue Cross® Premier PPO Silver - PPO
    • Blue Cross® Premier PPO Silver Extra - PPO
    • Blue Cross® Premier PPO Silver Saver HSA - PPO
    • Blue Cross® Premier PPO Value - PPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07E HSA $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07L HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10E $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10L $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B11E $25 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15E $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15L $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16E $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16L $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
  • Medicare

  • Medicaid

  • Blue Cross Blue Shield


*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

ERIC SIESEL

Authorized Official Title
PRESIDENT
Authorized Official Phone
(906) 635-9347

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
864468052MEDICAID (05)MI 
DG6664MEDICARE PIN (08)MI 
0N62370MEDICARE PIN (08) 
900A765010OTHER (01)MIBCBS
4656060001MEDICARE NSC (07)MI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407044688
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407048616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 4 + 8 + 6 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1407044688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528053683 ERIC SIESEL
Individual
Optometrist3265 S. M-129
SAULT SAINTE MARIE, MI 49783
(906) 635-9347

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407044688, enumerated in the NPI registry as an "organization" on October 12, 2007

The provider is located at 3265 S. M-129 Sault Sainte Marie, Mi 49783 and the phone number is (906) 635-9347

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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