Larry Marvin Vanderplas, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

LV045322 Issued in MI

Practice address

3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015-9393

Phone

(269) 979-6383

Fax

(269) 979-6381

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SW Michigan Eye Center PLC

  • Eyewear Supplier
  • Battle Creek, MI
  • NPI 1568528198
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013072198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6383",
            "fax_number": "269-979-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6383",
            "fax_number": "269-979-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPLAS",
        "first_name": "LARRY",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "LV045322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0831635",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "383224959101",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "LV045322",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Vandenbosch, LLC
• Megan Vandenboss
• Peter Vander Weide, P.T.
• Rebecca Vander-Lugt
• Tanya Lynn Vanderbor
• Erica Vanderpool
• Michael Richard Vandeveer, O.D.
• Caleb Vandyke, PHARMD
• Garrett Vanhecke, DDS
• Shanda Vanmeter

• Ophthalmology Physician in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.