WOW VISION THERAPY
NPI 1801275193
Optometrist - Vision Therapy in Grand Rapids, MI

NPI Status: Active since May 20, 2015

Contact Information

3152 PEREGRINE DR NE
SUITE C205
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 447-1444
Fax: (616) 447-1445

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  • Organization
  • Optometrist
  • Vision Therapy

About WOW VISION THERAPY

This page provides the complete NPI Profile along with additional information for Wow Vision Therapy, a provider established in Grand Rapids, Michigan operating as a Optometrist, focusing in vision therapy . The healthcare provider is registered in the NPI registry with number 1801275193 assigned on May 2015. The practitioner's primary taxonomy code is 152WV0400X with license number 4901002693 (MI). The provider is registered as an organization and their NPI record was last updated 11 years ago. Wow Vision Therapy 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 Wow Vision Therapy. The authorized official of this NPI record is Dr. Dan L Fortenbacher O.d. (Owner)

NPI
1801275193
Provider Legal Name
WORLD WIDE VISION THERAPY CENTERS, L.L.C.
Other Organization Name
WOW VISION THERAPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3152 PEREGRINE DR NE SUITE C205 GRAND RAPIDS, MI 49525
Location Phone
(616) 447-1444
Location Fax
(616) 447-1445
Mailing Address
3152 PEREGRINE DR NE SUITE C205 GRAND RAPIDS, MI 49525
Mailing Phone
(616) 447-1444
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2015
Last Update Date
05-21-2015
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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.
4901002693
License State
MI
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.

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)
1152W00000XEye and Vision Services Providers

Optometrist

4901002693 (MI)
2152WS0006XEye and Vision Services Providers

Optometrist
Sports Vision

4901002693 (MI)
3152WV0400XEye and Vision Services Providers

Optometrist
Vision Therapy

4901004791 (MI)
4152WV0400XEye and Vision Services Providers

Optometrist
Vision Therapy

4901004454 (MI)

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:

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

DR. DAN L FORTENBACHER O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(269) 983-3309

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
0700790001MEDICARE NSC (07)MI 
C20444MEDICARE PIN (08)MI 
T32641MEDICARE UPIN (02)MI 
900A165280OTHER (01)MIBLUE CROSS BLUE SHIELD OF MICHIGAN
A17615002MEDICARE PIN (08)MI 

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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 1801275193, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 0 → 0 2 → 4 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 4 + 7 + 1 + 0 + 1 + 1 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1801275193.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dentist
3152 PEREGRINE DR NE, STE 200
GRAND RAPIDS, MI 49525
Surgery (Vascular Surgery)
3152 PEREGRINE DR NE, 100
GRAND RAPIDS, MI 49525
Optometrist (Vision Therapy)
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Recreation Therapist
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Occupational Therapist (Pediatrics)
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Occupational Therapist
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525
Speech-Language Pathologist
3152 PEREGRINE DR NE
GRAND RAPIDS, MI 49525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801275193, enumerated as an "organization" on May 20, 2015.

The provider is located at 3152 PEREGRINE DR NE SUITE C205 GRAND RAPIDS, MI 49525 and the phone number is (616) 447-1444.

Optometrist with taxonomy code 152WV0400X and a focus in Vision Therapy.

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