GLE GLENWOOD LLC
NPI 1821709957
Optometrist in Glenwood, IA

NPI Status: Active since December 09, 2022

Contact Information

406 1ST ST
GLENWOOD, IA
ZIP 51534
Phone: (712) 527-4468
Fax: (712) 527-9458

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  • Organization
  • Optometrist
  • Accepts Insurance
  • CLIA Number: 16D2273442
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 12-12-2026

About GLE GLENWOOD LLC

This page provides the complete NPI Profile along with additional information for Gle Glenwood Llc, a provider established in Glenwood, Iowa operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1821709957 assigned on December 2022. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 4 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 Shawn Derene Mihulka (Office Manager)

NPI
1821709957
Provider Name
GLE GLENWOOD LLC
Entity Type
Organization
Location Address
406 1ST ST GLENWOOD, IA 51534
Location Phone
(712) 527-4468
Location Fax
(712) 527-9458
Mailing Address
PO BOX 188 GLENWOOD, IA 51534
Mailing Phone
(712) 527-4468
Mailing Fax
(712) 527-9458
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2022
Last Update Date
12-09-2022
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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

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
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 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:

  • 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
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*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

SHAWN DERENE MIHULKA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(712) 520-2759

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
16D2273442
Facility Type
Practitioner Other
Certificate Effective Date
December 13, 2024
Certificate Expiration Date
December 12, 2026
Laboratory Director
KYLE D. KLUTE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gle Glenwood Llc 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 GLE GLENWOOD LLC

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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 1821709957, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
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 2 → 4 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 1 + 4 + 0 + 1 + 8 + 9 + 1 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1821709957.

Other Providers at the Same Location


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

Optometrist
406 1ST ST
GLENWOOD, IA 51534
Optometrist
406 1ST ST
GLENWOOD, IA 51534
Optometrist
406 1ST ST
GLENWOOD, IA 51534
Specialist
406 1ST ST
GLENWOOD, IA 51534

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821709957, enumerated as an "organization" on December 09, 2022.

The provider is located at 406 1ST ST GLENWOOD, IA 51534 and the phone number is (712) 527-4468.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and Medica. Please consult your insurance carrier or call the provider to verify.