James F Van Wagnen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002420 Issued in MI

Practice address

1035 US 23 N
Alpena, MI 49707

Phone

(989) 356-4231

Fax

(989) 354-8654

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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 MI

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295757284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 US 23 N",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "49707",
            "telephone_number": "989-356-4231",
            "fax_number": "989-354-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 US 23 N",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "49707",
            "telephone_number": "989-356-4231",
            "fax_number": "989-354-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WAGNEN",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Up North Eye Care, PLLC
• David Upham, MD
• Bonnie Lou Urlaub, M.A., L.P.C.
• Usv Optical Inc.
• Frank Jacques Van Goethem, MA, LLP, LMSW
• David S. Vanderlinde, O.D.
• Tiffany Ann Vanschagen, M.A., CCC-SLP
• Jon Christopher Vanwagnen, O.D.
• James L Vedder, DDS MS
• Rachel Marie Vercnocke

• Optometrist in Alpena, MI
• Providers in Alpena, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.