Individual provider Active NPI

Joseph Daniel Vandenberg, OD

  • Optometrist
  • Sun City Center, FL
National Provider Identifier
1265099170
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5691 Issued in FL
Practice address
3894 Sun City Center Blvd
Sun City Center, FL 33573-6806
Phone
(941) 792-2020
NPI assigned
May 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5691 FL Primary

Addresses

Primary practice location

3894 Sun City Center Blvd
Sun City Center, FL 33573-6806

Mailing address

PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308

Other practice location 1

1601 38th Ave N
St Petersburg, FL 33713-1926
Phone (941) 792-2020

Other practice location 2

1550 E Venice Ave
Venice, FL 34292-1661
Phone (941) 792-2020

Other practice location 3

2111 Bee Ridge Rd
Sarasota, FL 34239-6104
Phone (941) 792-2020

Other practice location 4

6002 Pointe West Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

Other practice location 5

2203 61st St W
Bradenton, FL 34209-5528
Phone (941) 792-2020

Other practice location 6

6807 State Road 70 E
Bradenton, FL 34203-9743
Phone (941) 792-2020

Other practice location 7

7915 US Highway 301 N Ste 101
Ellenton, FL 34222-3532
Phone (941) 792-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190715000748 FL Practitioner - Optometry 5395070221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

6002 Pointe W Blvd
Bradenton, FL 34209-5531
Phone (941) 792-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5691FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Manatee LLP CurrentSince Jul 22, 2019 Accepting new patients
Eye Associates of Manatee, LLP CurrentSince Jul 22, 2019 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

6807 State Road 70 E
Bradenton, FL 34203

2203 61st St W
Bradenton, FL 34209

7915 US Highway 301 N
Ste 101
Ellenton, FL 34222
Phone (941) 729-2020

2111 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 213-1385

1601 38th Ave N
St Petersburg, FL 33713
Phone (727) 822-4287

3894 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 633-0601

1550 E Venice Ave
Venice, FL 34292
Phone (941) 667-9030

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: joseph.vandenberg.p1@direct.theeyeassociates.nextgenshare.com
  • Direct secure messaging: joseph.vandenbergod.p3@direct.theeyeassociates.nextgenshare.com

Organizations & group practices 2

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": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1265099170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3894 SUN CITY CENTER BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736806",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 38th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337131926",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342921661",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2111 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342396104",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6002 Pointe West Blvd",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095531",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 61st St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095528",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6807 State Road 70 E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342039743",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7915 US Highway 301 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ellenton",
            "state": "FL",
            "postal_code": "342223532",
            "country_code": "US",
            "telephone_number": "941-792-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-27",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.