PINECONE VISION THERAPY CENTER
NPI 1700113180
Optometrist - Vision Therapy in Sartell, MN
NPI Status: Active since November 05, 2009
Contact Information
2380 TROOP DR UNIT 201
SARTELL, MN
ZIP 56377
Phone: (320) 258-3915
Fax: (320) 258-3917
- Organization
- Optometrist
- Vision Therapy
- CLIA Number: 24D2272754
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-28-2026
About PINECONE VISION THERAPY CENTER
This page provides the complete NPI Profile along with additional information for Pinecone Vision Therapy Center, a provider established in Sartell, Minnesota operating as a Optometrist, focusing in vision therapy . The healthcare provider is registered in the NPI registry with number 1700113180 assigned on November 2009. The practitioner's primary taxonomy code is 152WV0400X with license number 3067 (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Pinecone Laser Center. The authorized official of this NPI record is Dr. Nicholas Colatrella Od (Owner)
- NPI
- 1700113180
- Provider Legal Name
- PINECONE VISION THERAPY CENTER
- Other Organization Name
- PINECONE LASER CENTER
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2380 TROOP DR UNIT 201 SARTELL, MN 56377
- Location Phone
- (320) 258-3915
- Location Fax
- (320) 258-3917
- Mailing Address
- 2380 TROOP DR UNIT 201 SARTELL, MN 56377
- Mailing Phone
- (320) 258-3915
- Mailing Fax
- (320) 258-3917
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-05-2009
- Last Update Date
- 11-05-2009
- 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 Vision Therapy
- Taxonomy Code
- 152WV0400X
- Type
- Eye and Vision Services Providers
- License No.
- 3067
- License State
- MN
- Taxonomy Description
- Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
Group Taxonomy 193400000X 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.
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
- 24D2272754
- Facility Type
- Physician Office
- Certificate Effective Date
- November 29, 2024
- Certificate Expiration Date
- November 28, 2026
- Laboratory Director
- NICHOLAS COLATRELLA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pinecone Vision Therapy Center 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.
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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 1700113180, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700113180, enumerated as an "organization" on November 05, 2009.
The provider is located at 2380 TROOP DR UNIT 201 SARTELL, MN 56377 and the phone number is (320) 258-3915.
Optometrist with taxonomy code 152WV0400X and a focus in Vision Therapy.
