Alexandria Vanells, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3920-35 Issued in WI

Practice address

100 Carr Rd
Plymouth, WI 53073-9500

Phone

(920) 893-3937

Fax

(920) 892-6668

NPI assigned

Jun 13, 2023

Last updated

Jun 13, 2023By 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

Medicare fee-for-service enrollment

Enrolled in WI

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20-20 Visions LLCGroup PAC ID 0749275782, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 20-20 Visions LLC

  • Optometrist
  • Plymouth, WI
  • NPI 1821139932
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1730863465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530730600",
            "telephone_number": "920-893-3937",
            "fax_number": "920-892-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR RD",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530739500",
            "telephone_number": "920-893-3937",
            "fax_number": "920-892-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANELLS",
        "first_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3920-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie E Thompson, DO
• Timberview Family Dental SC
• Kristine Marie Van Ess, OTR
• Betty Ann Van Leuven, M.D.
• Patricia L Vande Hei, R.N.
• Melissa Virant
• Jaclyn Nikole Volz, MSCP, LPC
• Valerie Wacker
• William J Wagner, DO
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3497)

• Optometrist in Plymouth, WI
• Providers in Plymouth, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.