Jonathan Vangessel, OD
Individual provider Active NPI Optometrist · Nappanee, IN
NPI 1497315329 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1497315329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18004161A (IN)
- Practice address
- 1752 E Market St
Nappanee, IN 46550-9216 - Phone
- (574) 773-4341
- NPI assigned
- Jun 13, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Indiana Professional PC
Apple Eyecare FW Southwest LLC
Manchester Eyecare LLC
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190715003554 | IN | Practitioner - Optometry | 0941535850 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004161A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manchester Eyecare LLC | Optometrist | Current |
Accepting new patients |
| Nappanee Family Eyecare, P.C. | Optometrist | Current |
Accepting new patients |
| Apple Eyecare FW Southwest 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004161A | IN | Yes |
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
Other providers in Nappanee, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.