COREWELL HEALTH MEDICAL GROUP WEST
NPI 1619286663
Optometrist in Grand Rapids, MI

NPI Status: Active since September 24, 2010

Contact Information

4069 LAKE DIVE SE
SUITE 314
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 284-8870

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  • Organization
  • Optometrist
  • Accepts Insurance

About COREWELL HEALTH MEDICAL GROUP WEST

This page provides the complete NPI Profile along with additional information for Corewell Health Medical Group West, a provider established in Grand Rapids, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1619286663 assigned on September 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. Corewell Health Medical Group West operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Corewell Health Medical Group West. The authorized official of this NPI record is Pauline Krywanski (Svp)

NPI
1619286663
Provider Legal Name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other Organization Name
COREWELL HEALTH MEDICAL GROUP WEST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4069 LAKE DIVE SE SUITE 314 GRAND RAPIDS, MI 49546
Location Phone
(616) 284-8870
Mailing Address
100 MICHIGAN ST NE MC 845 GRAND RAPIDS, MI 49503
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-24-2010
Last Update Date
10-31-2023
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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
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)
1207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 

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:

  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
  • MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
  • MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network - HMO
  • MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
  • MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Corewell Health West Michigan Network - HMO
  • MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Corewell Health West Michigan Network - HMO
  • MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry) - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO

*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

PAULINE KRYWANSKI

Authorized Official Title
SVP
Authorized Official Phone
(616) 486-2253

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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 1619286663, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 1 → 2 2 → 4 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 4 + 8 + 1 + 2 + 6 + 1 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1619286663.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619286663, enumerated as an "organization" on September 24, 2010.

The provider is located at 4069 LAKE DIVE SE SUITE 314 GRAND RAPIDS, MI 49546 and the phone number is (616) 284-8870.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Priority Health. Please consult your insurance carrier or call the provider to verify.