Individual provider Active NPI

Vincent Duane Van Houten, O.D.

  • Optometrist
  • Safford, AZ
National Provider Identifier
1215077177
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1769 Issued in AZ
Practice address
620 S Central Ave
Safford, AZ 85546-2647
Phone
(928) 428-0500
Fax
(928) 428-0563
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1769 AZ Primary

Addresses

Primary practice location

620 S Central Ave
Safford, AZ 85546-2647

Mailing address

620 S Central Ave
Safford, AZ 85546-2647
Phone (928) 428-0500

Other practice location 1

825 S 20th Ave
Safford, AZ 85546-3317
Phone (602) 955-1000

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101018000712 AZ Practitioner - Optometry 0143384982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Family Vision Center LLCGroup PAC ID 8022495423, 2 clinicians

Practice addresses (Care Compare)

620 S Central Ave
Safford, AZ 85546-2647
Phone (928) 428-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Apr 3, 2019 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Apr 3, 2019 Accepting new patients
Desert Family Vision Center LLC Optometrist CurrentSince May 17, 2022 Accepting new patients

Locations

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

620 S Central Ave
Safford, AZ 85546
Phone (928) 428-0500

440 N Highway 90 Byp
Ste B3
Sierra Vista, AZ 85635
Phone (520) 459-7466

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

9160 S Houghton Rd
Ste 140
Tucson, AZ 85747
Phone (520) 574-6513

555 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 766-2020

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz
  • Direct secure messaging: dr.vincent.vanhouten@direct.eyecare-partners.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1215077177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462647",
            "telephone_number": "928-428-0500",
            "fax_number": "928-428-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462647",
            "telephone_number": "928-428-0500",
            "fax_number": "928-428-0563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 S 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855463317",
            "country_code": "US",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HOUTEN",
        "first_name": "VINCENT",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.