COSTCO OPTICAL #1279
NPI 1497264667
Eyewear Supplier in Traverse City, MI

NPI Status: Active since September 20, 2017

Contact Information

125 E SOUTH AIRPORT RD
TRAVERSE CITY, MI
ZIP 49686
Phone: (425) 313-6275

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  • Organization
  • Eyewear Supplier
  • Accepts Insurance
  • CLIA Number: 50D2014240
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 04-04-2028

About COSTCO OPTICAL #1279

This page provides the complete NPI Profile along with additional information for Costco Optical #1279, a provider established in Traverse City, Michigan operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1497264667 assigned on September 2017. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Costco Optical #1279. The authorized official of this NPI record is Art Salas (Avp Optical)

NPI
1497264667
Provider Legal Name
COSTCO WHOLESALE CORPORATION
Other Organization Name
COSTCO OPTICAL #1279
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
125 E SOUTH AIRPORT RD TRAVERSE CITY, MI 49686
Location Phone
(425) 313-6275
Mailing Address
PO BOX 35005 SEATTLE, WA 98124
Mailing Phone
(425) 313-8100
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-20-2017
Last Update Date
02-26-2020
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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:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO

*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

ART SALAS

Authorized Official Title
AVP OPTICAL
Authorized Official Phone
(231) 252-7013

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
50D2014240
Facility Type
Pharmacy
Certificate Effective Date
October 04, 2010
Certificate Expiration Date
April 04, 2028
Laboratory Director
REBEKAH M. DANT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Costco Optical #1279 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 COSTCO OPTICAL #1279

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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 1497264667, 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 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
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 9 → 18 → 9 2 → 4 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 4 + 6 + 8 + 6 + 1 + 2 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1497264667.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Hearing Aid Equipment
125 E SOUTH AIRPORT RD
TRAVERSE CITY, MI 49686
Pharmacy (Community/Retail Pharmacy)
125 E SOUTH AIRPORT RD
TRAVERSE CITY, MI 49686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497264667, enumerated as an "organization" on September 20, 2017.

The provider is located at 125 E SOUTH AIRPORT RD TRAVERSE CITY, MI 49686 and the phone number is (425) 313-6275.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.