Wayne Vanderleest, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1682 Issued in IA

Practice address

823 Franklin St
Pella, IA 50219-1603

Phone

(641) 628-9225

Fax

(641) 628-8698

NPI assigned

Jan 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Partners PCGroup PAC ID 0749170850, 7 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 and National Provider Directory roles.

• Eyecare Partners, P.C.

  • Optometrist
  • Pella, IA
  • NPI 1225093735
  Medicare reassignment Care Compare group NPD
• Eyecare Partners, P.C.

  • Optometrist
  • Des Moines, IA
  • NPI 1578871398
  NPD
• Eyecare Partners, P.C.

  • Optometrist
  • West Des Moines, IA
  • NPI 1770144941
  NPD

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1750369971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 FRANKLIN ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191603",
            "telephone_number": "641-628-9225",
            "fax_number": "641-628-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 FRANKLIN ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191603",
            "telephone_number": "641-628-9225",
            "fax_number": "641-628-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLEEST",
        "first_name": "WAYNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160770",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy A Vander Broek, DO
• Thomas Bernard Vander Linden, RPH.
• Troy Vander Molen, PT
• Kurt Ronald Vander Ploeg, M.D.
• David J Vanderhoff
• Russell R Vanhemert, D.C., C.C.S.P.
• Donna L. Vanvark, RPH
• Myndi Marie Vanvoorst, OCCUPT. THERAPIST
• Elizabeth Audrey Vermeer
• Micah Jess Vermeer, D.D.S.

• Optometrist in Pella, IA
• Providers in Pella, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.