LAKESIDE OPTICAL DISPENSARY, INC.
NPI 1780648824
Technician/Technologist - Optician in Moses Lake, WA
NPI Status: Active since April 14, 2006
Contact Information
1020 W IVY AVE
MOSES LAKE, WA
ZIP 98837
Phone: (509) 765-3497
Fax: (509) 765-5082
- Organization
- Technician/Technologist
- Optician
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
About LAKESIDE OPTICAL DISPENSARY, INC.
This page provides the complete NPI Profile along with additional information for Lakeside Optical Dispensary, Inc., a provider established in Moses Lake, Washington operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1780648824 assigned on April 2006. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Mr. Kevin Carvo (President)
- NPI
- 1780648824
- Provider Name
- LAKESIDE OPTICAL DISPENSARY, INC.
- Entity Type
- Organization
- Location Address
- 1020 W IVY AVE MOSES LAKE, WA 98837
- Location Phone
- (509) 765-3497
- Location Fax
- (509) 765-5082
- Mailing Address
- 1020 W IVY AVE MOSES LAKE, WA 98837
- Mailing Phone
- (509) 765-3497
- Mailing Fax
- (509) 765-5082
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-14-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Lakeside Optical Dispensary, Inc. is a medicare supplier with PTAN 20663675 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.
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
Technician/Technologist Optician
- Taxonomy Code
- 156FX1800X
- Type
- Eye and Vision Services Providers
- License State
- WA
- Taxonomy Description
- Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - 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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 2521003 | MEDICAID (05) | WA | |
| 0016601 | OTHER (01) | WA | L & I |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20663675
- Accepts Medicare Assignment
- YES
- Specialities List
- Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
- Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
Reviews for LAKESIDE OPTICAL DISPENSARY, INC.
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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 1780648824, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780648824, enumerated as an "organization" on April 14, 2006.
The provider is located at 1020 W IVY AVE MOSES LAKE, WA 98837 and the phone number is (509) 765-3497.
Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
