Individual provider Active NPI

Arlie Vanderhoof, O.D.

  • Optometrist
  • Fraser, MI
National Provider Identifier
1790770816
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002932 Issued in MI
Practice address
33080 Utica Rd
Fraser, MI 48026-2038
Phone
(586) 296-7250
Fax
(586) 296-0276
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002932 MI Primary

Addresses

Primary practice location

33080 Utica Rd
Fraser, MI 48026-2038

Mailing address

PO Box 26010
Fraser, MI 48026-6010
Phone (586) 296-7250

Other identifiers 2

IdentifierTypeStateIssuer
5189604MedicaidMI
5189613MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address avanderhoof@frasereye.direct.eyemdemr.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20070403000303 MI Practitioner - Optometry 0345344263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Eye Care Provider PLLCGroup PAC ID 1254611809, 21 clinicians

Practice addresses (Care Compare)

33080 Utica Rd
Suite B
Fraser, MI 48026-2038
Phone (586) 296-7250

Merit-based Incentive Payment System (MIPS)

Final score
92.14 of 100Reported as group
Quality
97.39
Improvement activities
40
Cost
77.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002932MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Eye Care Provider PLLC Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Eye Care Providers of Michigan PC PastSince Jun 15, 2015 Accepting new patients

Locations

257 Haggerty Rd
Commerce Township, MI 48390
Phone (248) 716-4450

33080 Utica Rd
Fraser, MI 48026
Phone (586) 218-5890

33080 Utica Rd
Ste B
Fraser, MI 48026
Phone (586) 296-7250

1000 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 982-3200

1701 South Blvd E
Ste 180
Rochester Hills, MI 48307
Phone (248) 293-5161

621 W 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 541-4200

11441 E 12 Mile Rd
Warren, MI 48093
Phone (586) 296-7250

28001 Schoenherr Rd
Ste 2
Warren, MI 48088
Phone (248) 212-0256

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1790770816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26010",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480266010",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33080 UTICA RD",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480262038",
            "telephone_number": "586-296-7250",
            "fax_number": "586-296-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "ARLIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5189604",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5189613",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avanderhoof@frasereye.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "Health Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33080 Utica Rd",
            "city": "Fraser",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480262038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.