MICHIGAN EYECARE INSTITUTE, P.C.
NPI 1679754816
Optometrist in Southfield, MI

NPI Status: Active since November 15, 2007

Contact Information

29877 TELEGRAPH RD
SUITE #100
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 352-2806

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  • Organization
  • Optometrist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 23D2141785
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-20-2025

About MICHIGAN EYECARE INSTITUTE, P.C.

This page provides the complete NPI Profile along with additional information for Michigan Eyecare Institute, P.c., a provider established in Southfield, Michigan operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1679754816 assigned on November 2007. The practitioner's primary taxonomy code is 152W00000X with license number 4901004206 (MI). The provider is registered as an organization and their NPI record was last updated 19 years ago. Michigan Eyecare Institute, P.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Kendra Sue Stanton B.s. (Administrator)

NPI
1679754816
Provider Name
MICHIGAN EYECARE INSTITUTE, P.C.
Entity Type
Organization
Location Address
29877 TELEGRAPH RD SUITE #100 SOUTHFIELD, MI 48034
Location Phone
(248) 352-2806
Mailing Address
29877 TELEGRAPH RD SUITE #100 SOUTHFIELD, MI 48034
Mailing Phone
(248) 352-2806
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2007
Last Update Date
11-15-2007
Code Navigator



Michigan Eyecare Institute, P.c. is a medicare supplier with PTAN 20645657 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

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 No.
4901004206
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 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:

  • 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
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO

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.

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

MRS. KENDRA SUE STANTON B.S.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(248) 352-2806

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
OF319240OTHER (01)MIBCBS VISION

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20645657
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

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
23D2141785
Facility Type
Physician Office
Certificate Effective Date
December 21, 2023
Certificate Expiration Date
December 20, 2025
Laboratory Director
WALTER J. CUKROWSKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Michigan Eyecare Institute, P.c. 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 MICHIGAN EYECARE INSTITUTE, P.C.

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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 1679754816, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 7 → 14 → 5 7 → 14 → 5 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 4 + 9 + 1 + 4 + 5 + 8 + 8 + 2 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1679754816.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
29877 TELEGRAPH RD, SUITE 400
SOUTHFIELD, MI 48034
Internal Medicine (Nephrology)
29877 TELEGRAPH RD, SUITE 301
SOUTHFIELD, MI 48034
Internal Medicine (Nephrology)
29877 TELEGRAPH RD, SUITE 400
SOUTHFIELD, MI 48034
Internal Medicine (Nephrology)
29877 TELEGRAPH RD, SUITE 301
SOUTHFIELD, MI 48034
Internal Medicine (Nephrology)
29877 TELEGRAPH RD, SUITE 301
SOUTHFIELD, MI 48034
Plastic Surgery
29877 TELEGRAPH RD, SUITE 107
SOUTHFIELD, MI 48034
Social Worker
29877 TELEGRAPH RD, STE 401
SOUTHFIELD, MI 48034
Counselor (Professional)
29877 TELEGRAPH RD, SUITE 401
SOUTHFIELD, MI 48034
Optometrist
29877 TELEGRAPH RD, SUITE 100
SOUTHFIELD, MI 48034
Obstetrics & Gynecology
29877 TELEGRAPH RD, SUITE 304
SOUTHFIELD, MI 48034
Podiatrist
29877 TELEGRAPH RD, SUITE 302
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29877 TELEGRAPH RD, SUITE 401
SOUTHFIELD, MI 48034
Surgery
29877 TELEGRAPH RD, SUITE 304
SOUTHFIELD, MI 48034
Plastic Surgery
29877 TELEGRAPH RD, SUITE 107
SOUTHFIELD, MI 48034
Counselor
29877 TELEGRAPH RD, SUITE 401
SOUTHFIELD, MI 48034
Obstetrics & Gynecology (Gynecology)
29877 TELEGRAPH RD, SUITE 302
SOUTHFIELD, MI 48034
Internal Medicine
29877 TELEGRAPH RD, SUITE 401
SOUTHFIELD, MI 48034
Internal Medicine
29877 TELEGRAPH RD, SUITE 200
SOUTHFIELD, MI 48034
Clinic/Center (Magnetic Resonance Imaging (MRI))
29877 TELEGRAPH RD, STE L-11
SOUTHFIELD, MI 48034
Internal Medicine
29877 TELEGRAPH RD, SUITE 200
SOUTHFIELD, MI 48034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679754816, enumerated as an "organization" on November 15, 2007.

The provider is located at 29877 TELEGRAPH RD SUITE #100 SOUTHFIELD, MI 48034 and the phone number is (248) 352-2806.

Optometrist with taxonomy code 152W00000X.

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