Individual provider Active NPI

Derek P Vanveen, OD

  • Optometrist
  • Easley, SC
National Provider Identifier
1518177708
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1180 Issued in SC
Practice address
5823 Calhoun Memorial Hwy Ste 2a
Easley, SC 29640-3874
Phone
(864) 855-6571
Fax
(864) 855-2303
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1808 NC
Optometrist 152W00000X 1180 SC Primary

Addresses

Primary practice location

5823 Calhoun Memorial Hwy Ste 2a
Easley, SC 29640-3874

Mailing address

5823 Calhoun Memorial Hwy Ste 2a
Easley, SC 29640-3874
Phone (864) 855-6571

Other practice location 1

105 N Earle St
Walhalla, SC 29691-2419
Phone (864) 638-9505

Other practice location 2

360 Pelham Rd
Greenville, SC 29615-3111
Phone (864) 654-6706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20180116001673 SC Practitioner - Optometry 2062771264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5823 Calhoun Memorial Hwy
Suite 2a
Easley, SC 29640-3874
Phone (864) 855-6571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1808NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Van Veen & Associates Optometrist CurrentSince Jun 11, 2021 Accepting new patients
Scott W Nebel OD LLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Clemson Eye, PA Optometrist PastSince Apr 28, 2003 Accepting new patients
Clemson Eye, PA Optometrist Past Accepting new patients
James J Jakubchak MD PA Past Accepting new patients
Optical Express Optometrist PastSince Jul 25, 2021 Accepting new patients
TLC the Laser Center (Institute) Inc. Past Accepting new patients

Locations

5823 Calhoun Memorial Hwy
Ste 2A
Easley, SC 29640
Phone (864) 855-6571

105 N Earle St
Walhalla, SC 29691
Phone (864) 638-9505

Interoperability endpoints

  • Direct secure messaging: derek.vanveen.p1@direct.clemsoneye.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1518177708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 CALHOUN MEMORIAL HWY STE 2A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403874",
            "telephone_number": "864-855-6571",
            "fax_number": "864-885-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 CALHOUN MEMORIAL HWY STE 2A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403874",
            "telephone_number": "864-855-6571",
            "fax_number": "864-855-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Earle St",
            "address_purpose": "LOCATION",
            "city": "Walhalla",
            "state": "SC",
            "postal_code": "296912419",
            "country_code": "US",
            "telephone_number": "864-638-9505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153111",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANVEEN",
        "first_name": "DEREK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1808",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.