Der Vang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002741 Issued in AZ

Practice address

15003 W Bell Rd Ste 100
Surprise, AZ 85374-3244

Phone

(623) 931-2943

Fax

(623) 583-2253

NPI assigned

Dec 22, 2023

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Female

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

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

Specialty

Optometry

Education

Midwestern University College of Dental Medicine, Glendale, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Vision Care LLCGroup PAC ID 5597836627, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Vision Care LLC

  dba The Village Eye Care

  • Optometrist
  • Surprise, AZ
  • NPI 1356513766
  Medicare reassignment Care Compare group NPD
• The Vision Center of West Phoenix

  • Optometrist
  • Phoenix, AZ
  • NPI 1831401934
  NPD (past)

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1265201925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26031 N 53RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850836349",
            "telephone_number": "559-387-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15003 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743244",
            "telephone_number": "623-931-2943",
            "fax_number": "623-583-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "DER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Van Wie, RBT
• Matthew Taylor Vander Kooi, DPT
• Jessica Vanderbilt, DNM
• Whitney Vandermer, RD
• Anna Helene Vanderwall
• Kyri Vanvoorst, MOT, OTR/L
• Edward W Vanwoesik, ACNP-BC
• Hugo Ernesto Vargas Cruz, PHARMD
• Patricia Vargas
• Vasco Healthcare Inc

• Optometrist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.