Active NPI
Derek P Vanveen, OD
- Optometrist
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1180
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1808 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Veen & Associates | Optometrist | Current | Accepting new patients |
| Scott W Nebel OD LLC | Optometrist | Current | Accepting new patients |
| Clemson Eye, PA | Optometrist | Past | Accepting new patients |
| Clemson Eye, PA | Optometrist | Past | Accepting new patients |
| James J Jakubchak MD PA | Past | Accepting new patients | |
| Optical Express | Optometrist | Past | 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
- derek.vanveen.p1@direct.clemsoneye.nextgenshare.com
- 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.
-
- Optometrist
- Easley, SC
- NPI 1447827738
-
- Optometrist
- Walhalla, SC
- NPI 1871179101
-
- Optometrist
- Hartsville, SC
- NPI 1629686373
-
- Ophthalmology Physician
- Spartanburg, SC
- NPI 1356522122
-
- Optometrist
- Easley, SC
- NPI 1760054803
-
- Clinic/Center
- Greenville, SC
- NPI 1457565285
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.