Organization Active NPI

Dr Vanderploeg & Associates Inc

  • Optometrist
  • Newtown, OH
National Provider Identifier
1144533753
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5983 Issued in OH
Legal business name
DR VANDERPLOEG & ASSOCIATES INC
Practice address
7397 Main St Ste I
Newtown, OH 45244-3034
Phone
(513) 991-7090
Fax
(513) 991-7091
NPI assigned
Jul 23, 2010
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Dr. Brian Vanderploeg, O.D.NPI 1427101757
Title
President
Phone
(513) 991-7090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5983 OH Primary

Addresses

Primary practice location

7397 Main St Ste I
Newtown, OH 45244-3034

Mailing address

7397 Main St Ste I
Newtown, OH 45244-3034
Phone (513) 991-7090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921000155 OH Part B Supplier - Clinic/Group Practice 1557486073 Receives reassigned benefits from 1 practitioner
Practice locations: Newtown, OH

National Provider Directory

National Provider Directory

Locations

7397 Main St
Ste I
Newtown, OH 45244
Phone (513) 991-7090

7397 Main St
Ste J
Newtown, OH 45244
Phone (513) 753-4981

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1144533753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7397 MAIN ST STE I",
            "city": "NEWTOWN",
            "state": "OH",
            "postal_code": "452443034",
            "telephone_number": "513-991-7090",
            "fax_number": "513-991-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7397 MAIN ST STE I",
            "city": "NEWTOWN",
            "state": "OH",
            "postal_code": "452443034",
            "telephone_number": "513-991-7090",
            "fax_number": "513-991-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VANDERPLOEG & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "VANDERPLOEG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-991-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.