Lauren Isabella Vanderreyden, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004579A Issued in IN

Practice address

1747 Stafford CT
Goshen, IN 46526-6542

Phone

(574) 533-0100

Fax

(574) 534-8088

NPI assigned

Jun 10, 2025

Last updated

Aug 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IN

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

Illinois College of Optometry at Chicago, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michiana Eye Center LLCGroup PAC ID 3173595634, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lauren.vanderreyden.p1@direct.mecfps.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Mishawaka, IN
  • NPI 1396722070

  Optometrist

  Medicare reassignment Care Compare group NPD
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Goshen, IN
  • NPI 1659670685

  Optometrist

  NPD
• Michiana Eye Center , LLC

  • Ophthalmology Physician
  • Elkhart, IN
  • NPI 1083907992

  Optometrist

  NPD (past)
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • South Bend, IN
  • NPI 1073671731

  Optometrist

  NPD (past)
• Michiana Eye Center LLC

  • Ophthalmology Physician
  • Plymouth, IN
  • NPI 1316005911

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1720973829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 WILLIAM DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261278",
            "telephone_number": "574-312-0418",
            "fax_number": "574-534-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 STAFFORD CT",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266542",
            "telephone_number": "574-533-0100",
            "fax_number": "574-534-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Meadow Ln",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465639394",
            "country_code": "US",
            "telephone_number": "574-935-4480",
            "fax_number": "574-941-2040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2216 Cassopolis St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465145133",
            "country_code": "US",
            "telephone_number": "574-261-2111",
            "fax_number": "574-266-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 E Day Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453408",
            "country_code": "US",
            "telephone_number": "574-271-3939",
            "fax_number": "574-271-3941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 N Niles Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466172328",
            "country_code": "US",
            "telephone_number": "574-282-2020",
            "fax_number": "574-288-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERREYDEN",
        "first_name": "LAUREN",
        "middle_name": "ISABELLA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004579A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300115631",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Van Elk, M.D.
• James R Vancuren, M.D.
• Madeline Vandecappelle, MD
• Jessica Lee Vander Molen
• Tracy Lynn Vander Reyden, FNP
• Emily Mae Vanderveer, DPT
• Yessica Veloz
• Urs W Von Holzen, MD
• Wade Psychological Services Inc.
• Ginger Renee Wade, APRN

• Optometrist in Goshen, IN
• Providers in Goshen, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.