FAIRVIEW EXPRESS CARE
NPI 1861674665
Eyewear Supplier in Andover, MN
NPI Status: Active since December 04, 2007
Contact Information
13819 HANSON BLVD NW
ANDOVER, MN
ZIP 55304
Phone: (763) 572-5700
Fax: (763) 392-4052
- Organization
- Eyewear Supplier
- Accepts Insurance
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 24D0953063
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-08-2027
About FAIRVIEW EXPRESS CARE
This page provides the complete NPI Profile along with additional information for Fairview Express Care, a provider established in Andover, Minnesota operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1861674665 assigned on December 2007. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1861674665
- Provider Legal Name
- FAIRVIEW EXPRESS CARE
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 13819 HANSON BLVD NW ANDOVER, MN 55304
- Location Phone
- (763) 572-5700
- Location Fax
- (763) 392-4052
- Mailing Address
- 1700 UNIVERSITY AVE W SAINT PAUL, MN 55104
- Mailing Phone
- (612) 672-6740
- Mailing Fax
- (763) 392-4052
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2007
- Last Update Date
- 02-13-2025
- Code Navigator
Fairview Express Care is a medicare supplier with PTAN 20568683 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.
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
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
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.
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 |
|---|---|---|---|
| 45Q12CO | OTHER (01) | MN | BCBS DME NUMBER |
| 819418000 | MEDICAID (05) | MN |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20568683
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
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
- 24D0953063
- Facility Type
- Physician Office
- Certificate Effective Date
- September 09, 2025
- Certificate Expiration Date
- September 08, 2027
- Laboratory Director
- NANCY JUDY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Fairview Express Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1861674665, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 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.
ANDOVER, MN 55304
ANDOVER, MN 55304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861674665, enumerated as an "organization" on December 04, 2007.
The provider is located at 13819 HANSON BLVD NW ANDOVER, MN 55304 and the phone number is (763) 572-5700.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Sanford Health Plan, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
