Active NPI
Jonathan Vangessel, OD
- Optometrist
- Nappanee, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004161A
- Practice address
- 1752 E Market St
Nappanee, IN 46550-9216 - Phone
- (574) 773-4341
- NPI assigned
- Jun 13, 2019
- Last updated
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 18004161A | IN | Primary |
Addresses
Primary practice location
1752 E Market St
Nappanee, IN 46550-9216
Mailing address
11520 E 300 N
Avilla, IN 46710-9636
Phone (260) 242-1310
Other practice location 1
103 Front St
North Manchester, IN 46962-1529
Phone (260) 982-8798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13813 State St
Grabill, IN 46741-2030
Phone (260) 627-1091
4626 W Jefferson Blvd
Fort Wayne, IN 46804-6897
Phone (260) 432-5502
901 State Rd 114
North Manchester, IN 46962-1967
Phone (260) 306-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nappanee Family Eyecare, P.C. | Optometrist | Current | Accepting new patients |
| Apple Eyecare FW Southwest LLC | Optometrist | Current | Accepting new patients |
| Manchester Eyecare LLC | Optometrist | Current | Accepting new patients |
| Hill Chiropractic LLC | Past | Accepting new patients |
Locations
4626 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-0561
1752 E Market St
Nappanee, IN 46550
Phone (574) 773-4341
103 Front St
North Manchester, IN 46962
Phone (260) 306-0079
901 State Road 114 W
North Manchester, IN 46962
Phone (260) 306-3937
Organizations & group practices 5
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.
-
- Optometrist
- North Manchester, IN
- NPI 1780241547
-
- Optometrist
- Warsaw, IN
- NPI 1043944127
-
- Optometrist
- Nappanee, IN
- NPI 1083781512
-
- Chiropractor
- North Manchester, IN
- NPI 1316651565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1497315329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11520 E 300 N",
"city": "AVILLA",
"state": "IN",
"postal_code": "467109636",
"telephone_number": "260-242-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 E MARKET ST",
"city": "NAPPANEE",
"state": "IN",
"postal_code": "465509216",
"telephone_number": "574-773-4341"
}
],
"practiceLocations": [
{
"address_1": "103 Front St",
"address_purpose": "LOCATION",
"city": "North Manchester",
"state": "IN",
"postal_code": "469621529",
"country_code": "US",
"telephone_number": "260-982-8798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANGESSEL",
"first_name": "JONATHAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004161A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nappanee, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.