Active NPI
Buck Duane Vandorn, O. D.
- Optometrist
- McAllen, TX
National Provider Identifier
1407865124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 851
- Practice address
- 1804 S 10TH St
McAllen, TX 78503-5402 - Phone
- (956) 972-0047
- NPI assigned
- Aug 5, 2006
- Last updated
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 851 | OK | Primary |
Addresses
Primary practice location
1804 S 10TH St
McAllen, TX 78503-5402
Mailing address
1804 S 10TH St
McAllen, TX 78503-5402
Phone (956) 687-2875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB122590 | Other | TX | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amedco Texas LLC | Optometrist | Past | Accepting new patients |
| Primary Care Ophthalmology, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- McAllen, TX
- NPI 1205077377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1407865124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 S 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785035402",
"telephone_number": "956-687-2875",
"fax_number": "956-687-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 S 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785035402",
"telephone_number": "956-972-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDORN",
"first_name": "BUCK",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB122590",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
- Valley Total Healthcare Systems
- Valley Transplant & Kidney Center PLLC
- Valley Urgent Care, LLC (Urgent)
- Valley Women's Care PLLC
- Viola Helena Vallez
- Vanessa Loo Chang & Dennis M Chang OD PTR (Nolana Eye Care)
- Vanness Medical Equipment
- Cesar Alejandro Varela Ulloa, MD
- Ines Varela
- Andrea Enea Varesic, D.D.S.,M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.