Donald J Vanderfeltz, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02337 Issued in MO

Practice address

202 E North St
California, MO 65018-1583

Phone

(573) 796-2222

Fax

(573) 796-4184

NPI assigned

Aug 12, 2006

Sex

Male

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 5

Medicare fee-for-service enrollment

Enrolled in MO

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

Merit-based Incentive Payment System (MIPS)

Final score

91.71 of 100Reported as group

Quality

95.95

Improvement activities

40

Cost

77.77

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 and National Provider Directory roles.

• Columbia Eye Consultants Optometry

  • Optometrist
  • Columbia, MO
  • NPI 1346396033
  Medicare reassignment NPD
• Columbia Eyewear

  • Optician
  • Columbia, MO
  • NPI 1720134513
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1225040249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E NORTH ST",
            "address_2": "P. O. BOX 246",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181583",
            "telephone_number": "573-796-2222",
            "fax_number": "573-796-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E NORTH ST",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181583",
            "telephone_number": "573-796-2222",
            "fax_number": "573-796-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERFELTZ",
        "first_name": "DONALD",
        "middle_name": "J",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "123785",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "22-00862",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310208921",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "109091",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH",
            "identifier": "T42545",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Rae Pruitt
• Jill Denise Smith Radkowiec, OD
• Nicole E. Raithel
• Glenn R. Stenquist, D.D.S.
• Cole Edward Vanderfeltz, OD
• Kennedy Jean Volkart, DC
• William Wallace, CRAADC, PLPC
• Brady L Wilborn, O.D.
• Ryan Curtis Wilkerson, OD
• You Turn Inc

• Optometrist in California, MO
• Providers in California, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.