Harrison Vanderlinde, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34353 Issued in CA

Practice address

1618 E Caldwell Ave
Visalia, CA 93292-9228

Phone

(559) 737-9690

NPI assigned

Sep 5, 2019

Last updated

Sep 5, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

University of California - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newport Avenue Optometry IncGroup PAC ID 1355770058, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Newport Avenue Optometry Inc.

  • Optometrist
  • San Diego, CA
  • NPI 1306497888
  Medicare reassignment Care Compare group NPD
• Imperial Valley Optometric Corporation

  dba Optom-Eyes Vision Care

  • Optometrist
  • El Centro, CA
  • NPI 1316950207
  Medicare reassignment NPD
• Imperial Valley Optometric Corporation

  dba Newport Avenue Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1538050224
  NPD
• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD (past)

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1336798123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929228",
            "telephone_number": "559-737-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929228",
            "telephone_number": "559-737-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLINDE",
        "first_name": "HARRISON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.drserrins.com/",
            "affiliation": "N",
            "address_1": "1618 E Caldwell Ave",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932929228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Van Woudenberg, NNP
• Sophie Van
• Garlynn Mark Vance, L.C.S.W.
• Desiree Emily Vandenbrande
• Thomas Vander-Hoek
• Vanesa Avila MD Inc. (Rooted Wellness MD)
• Amanda Vang
• Audrey Bee Vang, M.S.
• Kristine Kalia Vang
• PA Bai Vang

• Optometrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.