Cara Vander Wilt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02289 Issued in IA

Practice address

5501 NW 86TH St Ste 500
Johnston, IA 50131-1815

Phone

(515) 270-0494

Fax

(515) 270-6463

NPI assigned

Sep 8, 2005

Sex

Female

Sole proprietor

Yes

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 IA

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Real Optics IncGroup PAC ID 9830218122, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cara.vanderwilt@direct.revolutionehr.com

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.

• Real Optics Inc

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1003970344
  Medicare reassignment Care Compare group NPD
• Beaverdale Eye PC

  • Optometrist
  • Des Moines, IA
  • NPI 1265832208
  Medicare reassignment NPD
• Real Optics Inc

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1952510703
  NPD (past)
• Gerhard W Cibis MD PC

  • Optometrist
  • Kansas City, MO
  • NPI 1376619635
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1124012869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 19TH CT",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501254725",
            "telephone_number": "515-490-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NW 86TH ST STE 500",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311815",
            "telephone_number": "515-270-0494",
            "fax_number": "515-270-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 8th St SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "IA",
            "postal_code": "500092310",
            "country_code": "US",
            "telephone_number": "515-967-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDER WILT",
        "first_name": "CARA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124012869",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Van Ee
• Betsy Lucille Van Haaften, PA-C
• Jason Van Zee, LMHC
• Alexandra Vander Meide, MD
• Joel Philip Vander Meide, D.O.
• Laura Vandusseldorp, DPT
• Carrie Marie Vanquathem, MS, PT
• Veranda Dentistry Johnston, PLC
• Patrick Verdun
• Laurynn Elizabeth Verry, RD, LD

• Optometrist in Johnston, IA
• Providers in Johnston, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.