James Alan Van Fleit, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001601A Issued in IN

Practice address

3701 Portage Rd
South Bend, IN 46628-6098

Phone

(574) 243-7418

Fax

(574) 243-7554

NPI assigned

Oct 26, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245315514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53331 BRACKEN FERN DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466374589",
            "telephone_number": "574-273-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 PORTAGE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286098",
            "telephone_number": "574-243-7418",
            "fax_number": "574-243-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN FLEIT",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001601A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Vallejos, MSW
• Valeria I Valtierra, MSW
• Ajitha Sureshkumar Vamanannair, COTA
• Keri Van Acker
• Ester P J Van Der Wal, MD
• Jennifer Ann Vance, COTA
• Kimberly Sue Vance, MASTER OF EDUCATION
• Jillian Vandenberg, MSW
• Thomas R Vanderheyden Jr., D.O.
• Evert M Vanderstoep, M.D.

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.