Dawn T Van, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3746 Issued in FL

Practice address

8794 Boynton Beach Blvd Ste 114
Boynton Beach, FL 33472-4468

Phone

(561) 509-8502

Fax

(561) 509-8469

NPI assigned

Aug 8, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Nova Southeastern Univ College of Dental Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Dawn T Van O D P a

  • Optometrist
  • Pembroke Pines, FL
  • NPI 1568649275
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1689684466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD STE 114",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724468",
            "telephone_number": "561-509-8502",
            "fax_number": "561-509-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD STE 114",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724468",
            "telephone_number": "561-509-8502",
            "fax_number": "561-509-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "DAWN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621054600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Saintuma Vallon
• Value-Based Care LLC
• Christian Van Den Heuvel Sr., MD
• Brooke Van Kirk, D.C.
• Dianne Van Treeck, MS,RD,CDE,LD/N
• Ilana Vance, PA-C
• Brittney Vancheri, DPT
• Willy Vangent, CRNA
• John A Vanhouten, MD
• Vankat Medical Assist, LLC

• Optometrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.