BRAINERD EYECARE CENTER, PA
NPI 1871856229
Technician/Technologist - Optician in Brainerd, MN

NPI Status: Active since June 20, 2012

Contact Information

506 LAUREL ST.
BRAINERD, MN
ZIP 56401
Phone: (218) 829-0946
Fax: (218) 829-1279

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  • Organization
  • Technician/Technologist
  • Optician
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 24D2227197
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 06-08-2027

About BRAINERD EYECARE CENTER, PA

This page provides the complete NPI Profile along with additional information for Brainerd Eyecare Center, Pa, a provider established in Brainerd, Minnesota operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1871856229 assigned on June 2012. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 3 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 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 Anne Archibald (Cfo)

NPI
1871856229
Provider Name
BRAINERD EYECARE CENTER, PA
Entity Type
Organization
Location Address
506 LAUREL ST. BRAINERD, MN 56401
Location Phone
(218) 829-0946
Location Fax
(218) 829-1279
Mailing Address
506 LAUREL ST. BRAINERD, MN 56401
Mailing Phone
(218) 829-0946
Mailing Fax
(218) 829-1279
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2012
Last Update Date
01-16-2023
Code Navigator



Brainerd Eyecare Center, Pa is a medicare supplier with PTAN 20672669 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 or Prosthetic Lenses: Prosthetics Cataract 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
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.

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

 

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:

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

ANNE ARCHIBALD

Authorized Official Title
CFO
Authorized Official Phone
(218) 829-0946

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
4C345BROTHER (01)MNBLUE CROSS

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20672669
Accepts Medicare Assignment
YES
Specialities List
Optometrist, Optician.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract 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
24D2227197
Facility Type
Assisted Living Facility
Certificate Effective Date
June 09, 2025
Certificate Expiration Date
June 08, 2027
Laboratory Director
MARY BELZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brainerd Eyecare Center, Pa 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 1871856229, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 6 + 5 + 1 + 2 + 2 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1871856229.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871856229, enumerated as an "organization" on June 20, 2012.

The provider is located at 506 LAUREL ST. BRAINERD, MN 56401 and the phone number is (218) 829-0946.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.

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