NPIMap

Organization Active NPI

Donald J. Vanderfeltz

Doing business as Vision Health Eye Care Center

  • Optometrist
  • California, MO
National Provider Identifier
1700920915
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02337 Issued in MO
Legal business name
DONALD J. VANDERFELTZ
Doing business as
Vision Health Eye Care Center
Practice address
202 E North St
California, MO 65018-1583
Phone
(573) 796-2222
Fax
(573) 796-4184
NPI assigned
Feb 19, 2007
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Donald J Vanderfeltz, O.D.NPI 1225040249
Title
Owner
Phone
(573) 796-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T02337 MO Primary

Addresses

Primary practice location

202 E North St
California, MO 65018-1583

Mailing address

202 E North St
P O Box 246
California, MO 65018-1583
Phone (573) 796-2222

Other identifiers 1

IdentifierTypeStateIssuer
504809906MedicaidMO

Other names 1

  • Vision Health Eye Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

202 E North St
California, MO 65018
Phone (573) 796-2222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1700920915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E NORTH ST",
            "address_2": "P O BOX 246",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181583",
            "telephone_number": "573-796-2222",
            "fax_number": "573-796-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E NORTH ST",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181583",
            "telephone_number": "573-796-2222",
            "fax_number": "573-796-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. VANDERFELTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "VANDERFELTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-796-2222",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504809906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Health Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in California, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.