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NPI · 1104516707 · NPPES-sourced

Thunder Bay Optometry PLLC

ActiveOptometrist
NPI Number
1104516707
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(989) 356-3937
Primary practice line
Last Updated
About 3 years ago (May 2023)
Enumerated 2023-05-09
Primary practice addressMI · 49707-2929
1011 W Washington AveAlpena, MI 49707-2929
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About this NPIWhat this record shows.

NPI 1104516707 is registered to Thunder Bay Optometry PLLC, a healthcare organisation classified as "Optometrist" and located at 1011 W Washington Ave in Alpena, Michigan. The organisation's authorised official is Anthony Luongo. The organisation has been enumerated in the NPI registry since 2023.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2023-05-09
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Thunder Bay Optometry PLLC accepts. To confirm in-network status with your specific health plan, contact Thunder Bay Optometry PLLC directly at (989) 356-3937.

Frequently asked

Yes. NPI 1104516707 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (989) 356-3937.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Thunder Bay Optometry PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated2023-05
Enumerated2023-05-09
StatusActive
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