Kevin Rick Vanderhoef, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001577 Issued in GA

Practice address

1020 Big a Rd
Toccoa, GA 30577-6010

Phone

(706) 886-0111

Fax

(706) 886-7680

NPI assigned

Oct 26, 2005

Last updated

Dec 4, 2013By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athens Vision Centers, LLCGroup PAC ID 7911367255, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Athens Vision Centers, LLC

  dba Athens Eye Doctors and Surgeons, LLC

  • Optometrist
  • Elberton, GA
  • NPI 1972205136
  Medicare reassignment Care Compare group NPD
• Stephens County Eye Clinic,Inc

  • Optometrist
  • Toccoa, GA
  • NPI 1336326503
  Authorized official Same address or phone
• Da Vinci Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Greensboro, GA
  • NPI 1164897971
  NPD (past)
• Keller, Crymes, & Demarco LLC

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1467406983
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1033109491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776010",
            "telephone_number": "706-886-0111",
            "fax_number": "706-886-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776010",
            "telephone_number": "706-886-0111",
            "fax_number": "706-886-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOEF",
        "first_name": "KEVIN",
        "middle_name": "RICK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000743003D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Turner, RPH
• Thomas Dale Twilley, D.M.D.
• Thomas Daniel Twilley, D.M.D.
• United Hospice, Inc.
• United Rehab Inc. (United Rehab of Toccoa)
• Curt Matthew Vanorman, PHARM. D.
• Joseph Gregory Varnadore, MD
• Christopher Mark Vaughn, M.D.
• Megan Edge Vorees, LPC
• Jim R Wade, MD

• Optometrist in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.