Sara Sue-Kloft Vandegrift, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

100031 Issued in IA

Practice address

1500 Associates Dr
Dubuque, IA 52002-2201

Phone

(563) 584-4415

Fax

(563) 584-4256

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, IL, WI3 enrollments

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 3

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Lafayette CountyGroup PAC ID 9436054772, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafayette Hospital and Clinics Hospital, Darlington, WI, CCN 521312

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: svandegrift867846@direct.unitypoint.org

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.

• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790

  IL, WI

  Medicare reassignment Care Compare group NPD
• Lafayette County

  dba Lafayette Hospital and Clinics

  • Critical Access Hospital
  • Darlington, WI
  • NPI 1114987054
  Medicare reassignment Care Compare group NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Lafayette County

  dba Emergency Medical Services of Lafayette County

  • Land Ambulance
  • Darlington, WI
  • NPI 1427648526
  NPD
• Eye Surgeons Associates PC

  • Eyewear Supplier
  • Rock Island, IL
  • NPI 1316030034

  Optometrist

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette County

  dba Lafayette Hospital and Clinics

  • Critical Access Hospital
  • Darlington, WI
  • NPI 1114987054
  Care Compare affiliation
• Lafayette County

  dba Lafayette Hospital and Clinics

  • Medicare Defined Swing Bed Hospital Unit
  • Darlington, WI
  • NPI 1689787954
  Care Compare affiliation

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1457979197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022201",
            "telephone_number": "563-584-4415",
            "fax_number": "563-584-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022201",
            "telephone_number": "563-584-4415",
            "fax_number": "563-584-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Tanglefoot Ln",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527221650",
            "country_code": "US",
            "telephone_number": "563-459-6676 x6676",
            "fax_number": "563-328-5694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 S State St",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "IL",
            "postal_code": "612541536",
            "country_code": "US",
            "telephone_number": "309-944-8888",
            "fax_number": "309-944-8893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4731 45th Street Ct",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612017102",
            "country_code": "US",
            "telephone_number": "309-793-2020 x6676",
            "fax_number": "309-793-2602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Tanglefoot Ln",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527221650",
            "country_code": "US",
            "telephone_number": "563-323-2020 x6676",
            "fax_number": "563-328-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEGRIFT",
        "first_name": "SARA",
        "middle_name": "SUE-KLOFT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011426",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "100031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Vaassen, O.D.
• Valerie Gill Inc
• Amy Van Otterloo, OTR/L
• Lauren Van Sloun
• Charity Vancleve
• Laura Vander Ploeg, BS, CADC
• Andrew D Vanderheyden, M.D.
• Aaron Vandermillen, PHARM.D.
• Sarah Ann Vandermillen, PHARMD
• Rachel Vannatta, LISW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.