TRAVERSE CITY EYE CONSULTANTS P C
NPI 1861554636
Ophthalmology in Kalkaska, MI
NPI Status: Active since December 15, 2006
Contact Information
419 S CORAL ST
KALKASKA, MI
ZIP 49646
Phone: (231) 935-8101
Fax: (231) 935-0955
- Organization
- Ophthalmology
- CLIA Number: 23D1008119
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 01-09-2027
About TRAVERSE CITY EYE CONSULTANTS P C
This page provides the complete NPI Profile along with additional information for Traverse City Eye Consultants P C, a provider established in Kalkaska, Michigan operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1861554636 assigned on December 2006. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kenneth B Gum M.d. (Doctor)
- NPI
- 1861554636
- Provider Name
- TRAVERSE CITY EYE CONSULTANTS P C
- Entity Type
- Organization
- Location Address
- 419 S CORAL ST KALKASKA, MI 49646
- Location Phone
- (231) 935-8101
- Location Fax
- (231) 935-0955
- Mailing Address
- 5199 N ROYAL DR TRAVERSE CITY, MI 49684
- Mailing Phone
- (231) 935-8101
- Mailing Fax
- (231) 935-0955
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-15-2006
- Last Update Date
- 03-30-2021
- Code Navigator
Ophthalmologists like Traverse City Eye Consultants P C specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
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
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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) |
|---|---|---|---|---|
| 1 | 332H00000X | Suppliers | Eyewear Supplier |
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.
*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 |
|---|---|---|---|
| 0N89560 | MEDICAID (05) | MI | |
| 0N89570 | MEDICAID (05) | MI |
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
- 23D1008119
- Facility Type
- Ambulance
- Certificate Effective Date
- January 10, 2025
- Certificate Expiration Date
- January 09, 2027
- Laboratory Director
- KATHRYN N. KUNKLOW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Traverse City Eye Consultants 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.
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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 1861554636, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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.
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 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KALKASKA, MI 49646
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861554636, enumerated as an "organization" on December 15, 2006.
The provider is located at 419 S CORAL ST KALKASKA, MI 49646 and the phone number is (231) 935-8101.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
