Larry H Vandaalen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1865 Issued in IA

Practice address

108 2ND St NW
Waverly, IA 50677-2619

Phone

(319) 559-2020

Fax

(319) 559-2021

NPI assigned

Jul 7, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Illinois College of Optometry at Chicago, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Eye Care Center of Waverly, PLLC

  • Optometrist
  • Waverly, IA
  • NPI 1841735008

  IA, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1366474355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 2ND ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772619",
            "telephone_number": "319-559-2020",
            "fax_number": "319-559-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 2ND ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772619",
            "telephone_number": "319-559-2020",
            "fax_number": "319-559-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDAALEN",
        "first_name": "LARRY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253799",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46986",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Tuttle, CRNA
• Unitypoint Health - Marshalltown
• Christopher Michael Utz, LPT
• Susan Kosche Vallem, EDD, LISW
• Devin Van Raden
• Kerri Marie Vanee, ACNP-BC
• Paula Jean Vaughan, MBA, RD, LD
• Rachel Lee Vaughn, ARNP
• Belinda Malinao Velasquez, LPT
• Verlyn W Heine DC PC

• Optometrist in Waverly, IA
• Providers in Waverly, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.