Tarra L Vander Leest, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02288 Issued in IA

Practice address

1306 18TH St
Suite E
Spirit Lake, IA 51360-1163

Phone

(712) 336-4401

Fax

(712) 336-4403

NPI assigned

Oct 17, 2006

Last updated

Dec 23, 2023By the provider in NPPES

Sex

Female

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 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

Southern College of Optometry, 2004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tarra Vander Leest OD PC

  • Optometrist
  • Spirit Lake, IA
  • NPI 1194806117
  Medicare reassignment NPD Authorized official
• Allen S Jones OD PC

  • Optometrist
  • Sheldon, IA
  • NPI 1568599827
  NPD (past)
• Sheldon Vision Care, P.C.

  • Optometrist
  • Sheldon, IA
  • NPI 1427394493
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1447330980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 SUNNER AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607678",
            "telephone_number": "712-330-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 18TH ST",
            "address_2": "SUITE E",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601163",
            "telephone_number": "712-336-4401",
            "fax_number": "712-336-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER LEEST",
        "first_name": "TARRA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gail Thoreson, IADC
• Leah Tigges
• Trimark Physicians Group Inc (Trimark Physicians Group)
• Sarah Elaine Ussery, CNM, ARNP
• Steven Paul Vander Leest, D.O.
• Stephanie J. Veldman, DC,CCSP
• Joseph Verschoor, DPT
• Wal-Mart Stores, Inc. (Vision Center 30-1415)
• Walmart Inc. (Walmart Pharmacy 10-1415)
• Larry C Webber Jr., MPT

• Optometrist in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2023; 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.