GRAND LAKE OPTICAL, LLC
NPI 1649383191
Eyewear Supplier in Grove, OK

NPI Status: Active since August 17, 2006

Contact Information

1120 NEO LOOP
GROVE, OK
ZIP 74344
Phone: (918) 787-2121
Fax: (918) 787-6002

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  • Organization
  • Eyewear Supplier

About GRAND LAKE OPTICAL, LLC

This page provides the complete NPI Profile along with additional information for Grand Lake Optical, Llc, a provider established in Grove, Oklahoma operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1649383191 assigned on August 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Kevin K Toller Md (President)

NPI
1649383191
Provider Name
GRAND LAKE OPTICAL, LLC
Entity Type
Organization
Location Address
1120 NEO LOOP GROVE, OK 74344
Location Phone
(918) 787-2121
Location Fax
(918) 787-6002
Mailing Address
P.O. BOX 451627 GROVE, OK 74345
Mailing Phone
(918) 787-2121
Mailing Fax
(918) 787-6002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2006
Last Update Date
11-18-2010
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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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

DR. KEVIN K TOLLER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(918) 787-2020

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
200005980AMEDICAID (05)OK 
1649383191MEDICARE PIN (08)OK 
3910810001MEDICARE NSC (07)OK 

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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 1649383191, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

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
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 4 → 8 3 → 6 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 8 + 9 + 6 + 8 + 6 + 1 + 1 + 8 + 24 = 79

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

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1649383191.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Specialist
1120 NEO LOOP
GROVE, OK 74344
Neurological Surgery
1120 NEO LOOP
GROVE, OK 74344
Ophthalmology
1120 NEO LOOP
GROVE, OK 74344
Hospice Care, Community Based
1120 NEO LOOP
GROVE, OK 74344

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649383191, enumerated as an "organization" on August 17, 2006.

The provider is located at 1120 NEO LOOP GROVE, OK 74344 and the phone number is (918) 787-2121.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.