Terry R. Vanderheyden OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPC001061 Issued in FL

Legal business name

TERRY R. VANDERHEYDEN OD

Practice address

4060 Tamiami TRL N
Suite 4
Naples, FL 34103-3596

Phone

(239) 261-5915

NPI assigned

May 4, 2008

Last updated

Oct 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry R. Vanderheyden, O.D.NPI 1932191756

Title

Owner

Phone

(239) 261-5915

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry R. Van Der Heyden, O.D.

  • Corneal and Contact Management Optometrist
  • Naples, FL
  • NPI 1932191756

  Eyewear Supplier

  NPD (past) Authorized official

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1285800821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 TAMIAMI TRL N",
            "address_2": "SUITE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033596",
            "telephone_number": "239-261-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 TAMIAMI TRL N",
            "address_2": "SUITE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033596",
            "telephone_number": "239-261-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY R. VANDERHEYDEN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-04",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "VANDERHEYDEN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-261-5915",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC001061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Naples, FL
• Providers in Naples, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.