Jason Vanderploeg, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004392 Issued in MI

Practice address

3205 28TH St SE
Ste 1
Kentwood, MI 49512-1695

Phone

(616) 957-1600

Fax

(616) 957-3925

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Ophthalmology, PCGroup PAC ID 3072610112, 3 clinicians

Richard H Benninger MDPCGroup PAC ID 7113010885, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.75 of 100Reported as group

Quality

91.5

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Cascade Ophthalmology PC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1013979756
  Medicare reassignment Care Compare group NPD
• Richard H Benninger MD PC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1275618068

  Optometrist

  Medicare reassignment Care Compare group NPD
• Creekside Vision & Hearing, PLC

  • Specialist
  • Hastings, MI
  • NPI 1508829573

  Optometrist

  Medicare reassignment NPD
• Cascade Ophthalmology PC

  • Eyewear Supplier
  • Grand Rapids, MI
  • NPI 1508927286
  NPD
• Luxottica Retail North America Inc

  dba Lenscrafters #05578

  • Eyewear Supplier
  • Midland, MI
  • NPI 1053457101
  NPD (past)
• Michigan Street Optical

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
  • NPI 1043350689
  NPD (past)
• Pearle Vision Inc

  dba Pearle Vision #C6658

  • Eyewear Supplier
  • Kentwood, MI
  • NPI 1104962752
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1558404152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251612",
            "telephone_number": "616-957-1600",
            "fax_number": "616-957-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 28TH ST SE",
            "address_2": "STE 1",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495121695",
            "telephone_number": "616-957-1600",
            "fax_number": "616-957-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPLOEG",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lynn Vandenbosch, LMSW
• Marie Vander Linde, MD
• Megan Vanderhoof, OTRL
• Grant Michael Vanderklipp
• Nathan Vanderloo, D.C.
• David Alan Vanderwal, MA/LPC
• Jesse Wade Vandommelen
• Juliette Mae Vanhorn
• Brittney Nicole Vankoevering
• Haidyn Johanna Vankoevering

• Optometrist in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.