Richard Vanover, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9667T Issued in CA

Practice address

3133 W March LN
Suite 2020
Stockton, CA 95219-2336

Phone

(209) 951-0820

Fax

(209) 951-2348

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Optometric Care of Northern California PCGroup PAC ID 6002216488, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• First Optometric Care of Northern California PC

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1154972404
  Medicare reassignment Care Compare group NPD
• Brookside Optometric Group

  • Optometrist
  • Stockton, CA
  • NPI 1922127356
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • San Jose, CA
  • NPI 1487537452
  NPD
• Fifth Optometric Care of California

  • Optometrist
  • Taft, CA
  • NPI 1699504746
  NPD (past)
• First Optometric Care of Northern California PC

  • Optometrist
  • Stockton, CA
  • NPI 1932786407
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1528022035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN",
            "address_2": "SUITE 2020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192336",
            "telephone_number": "209-951-0820",
            "fax_number": "209-951-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 W MARCH LN",
            "address_2": "SUITE 2020",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192336",
            "telephone_number": "209-951-0820",
            "fax_number": "209-951-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOVER",
        "first_name": "RICHARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9667T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0096670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0694800001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Vang
• Tria Vang
• Wa Vang
• Johnmark Vanness II
• David Michael Vannucci, PTA
• Kenneth Robert Vanroekel II
• Charles Vansicklen, DDS
• James Harrold Vansicklen Jr., DDS
• Cali Vanvalkenburg, ATC
• Angela Vaquera

• Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.

Verify at the official NPI Registry.