AVERA MEDICAL GROUP OPTOMETRY MOUNTAIN LAKE
NPI 1508177890
Optometrist in Mountain Lake, MN
NPI Status: Active since July 01, 2010
Contact Information
1040 3RD AVE
MOUNTAIN LAKE, MN
ZIP 56159
Phone: (507) 427-2345
- Organization
- Optometrist
About AVERA MEDICAL GROUP OPTOMETRY MOUNTAIN LAKE
This page provides the complete NPI Profile along with additional information for Avera Medical Group Optometry Mountain Lake, a provider established in Mountain Lake, Minnesota operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1508177890 assigned on July 2010. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 3 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 provider's is doing business as Avera Medical Group Optometry Mountain Lake. The authorized official of this NPI record is Debbie Streier (Ceo)
- NPI
- 1508177890
- Provider Legal Name
- AVERA MARSHALL
- Other Organization Name
- AVERA MEDICAL GROUP OPTOMETRY MOUNTAIN LAKE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1040 3RD AVE MOUNTAIN LAKE, MN 56159
- Location Phone
- (507) 427-2345
- Mailing Address
- 1040 3RD AVE MOUNTAIN LAKE, MN 56159
- Mailing Phone
- (507) 427-2345
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-01-2010
- Last Update Date
- 12-02-2022
- 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
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License State
- MN
- 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.
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 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193400000X MULTIPLE 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.
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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. | |||||||||
| 1 | 5 | 0 | 8 | 1 | 7 | 7 | 8 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 2 | 7 | 14 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 2 + 7 + 1 + 4 + 8 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1508177890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508177890, enumerated as an "organization" on July 01, 2010.
The provider is located at 1040 3RD AVE MOUNTAIN LAKE, MN 56159 and the phone number is (507) 427-2345.
Optometrist with taxonomy code 152W00000X.
