Ronald L Vanderlugt MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301046147 Issued in MI

Legal business name

RONALD L VANDERLUGT MD

Practice address

1717 Shaffer St
Suite 207
Kalamazoo, MI 49048-1625

Phone

(269) 383-1110

Fax

(269) 383-1103

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Ronald L Vanderlugt, MD

Title

Owner

Phone

(269) 383-1110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1467638338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "SUITE 207",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481625",
            "telephone_number": "269-383-1110",
            "fax_number": "269-383-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "SUITE 207",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481625",
            "telephone_number": "269-383-1110",
            "fax_number": "269-383-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L VANDERLUGT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "VANDERLUGT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-383-1110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301046147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A Rolfsen, MS, OTR
• Keophouvien Rolon, RD
• Christine Lynn Romack, FNP-C
• Oreste Romeo, MD
• Deborah A Romig, P.T.
• Ronald M. Crafton, PC
• Angibell Rondon Yusti
• Amanda Root, LLMSW
• Rejean Root
• Whitney Root

• Ophthalmology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.